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diagnosis anesthesiology checklist intraoperative differential hyperthermia perioperative airway block cardiac central crisis cyanosis embolism embolus evaluation high hypotension hypoxia increased
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
• Increase fresh ... • If heart rate ... • If heart rate ... Checklist #Diagnosis #Management ... #Workup
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
• Excessive heat ... maintained fever CAUSES ... hyperthermia crisis (late sign ... 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 ... below level of heart ... #Workup
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
Guidelines for Crises ... is unconscious, signs ... especially in heart ... Checklist #Diagnosis #Management ... #Workup
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
• Increase fresh ... Circulation • Check heart ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management ... #Workup
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
High Central Neuraxial Block - Guidelines for Crises in Anaesthesia • Can occur with deliberate or accidental
Do not use head-down ... Consider other causes ... that may mimic signs ... Checklist #Diagnosis #Management ... #Workup
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
Circulation • Check heart ... oedema, congenital heart ... Checklist #Diagnosis #Workup ... #Management #Workup ... #anesthesia
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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