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diagnosis anesthesiology checklist intraoperative differential hyperthermia perioperative cardiacarrest crisis cyanosis embolism embolus evaluation hypertension malignant preop preoperative risk stratification thromboembolism
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
maintained fever CAUSES ... hyperthermia crisis (late sign ... Intracranial blood • Hypoxic ... Checklist #Diagnosis #Management ... #Workup
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Causes: thrombus ... Signs: hypotension ... , tachycardia, hypoxemia ... , decreased ETCO2 ... #Workup
Intraoperative Hypertension - Guidelines for Crises in Anaesthesia Hypertension is most commonly due to inappropriate depth of
Breathing - exclude hypoxia ... hypercarbia as causes ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management ... #Workup
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
evaluating potential causes ... oxygen delivery • Increase ... 4 H’s, 4 T’s: Hypoxia ... Checklist #Diagnosis #Management ... #Workup
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
should identify any cause ... • Increase fresh ... Checklist #Diagnosis #Workup ... #Management #Workup ... #anesthesia
Malignant Hyperthermia Crisis - Guidelines for Crises in Anaesthesia Unexplained increase in ETCO2 AND tachycardia AND increased
rise is a late sign ... other, more common causes ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management ... #Workup
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
complications from anesthesia ... event, follow ACC algorithm ... are needed: • HgbA1c ... or death (CARP, DECREASE ... medical and surgical management
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