14 results
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... rapidly complete the surgery ... Ischemia #Ischaemia #Anesthesiology
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
surgery if possible ... consider: o Cardiac ... Anaphylaxis → 3-1 o Cardiac ... Sepsis → 3-14 o Cardiac ... #Differential #Anesthesiology
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... cardiothoracic surgery ... , e.g. central line ... • Call for cardiac ... #Tamponade #Anesthesiology
Cardiac Arrest - Guidelines for Crises in Anaesthesia

The probable cause is one or more of: something
Cardiac Arrest - ... something related to surgery ... the reason for surgery ... • Check ECG rhythm ... #Differential #Anesthesiology
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
• Unexplained hypotension
• Unexplained bronchospasm (wheeze may be absent
• Unexpected cardiac ... non-essential surgery ... alternate vasopressor (e.g ... as patient is stable ... #Anaphylaxis #Anesthesiology
Hypoglycemia - Differential Diagnosis Algorithm
Fasting Hypoglycemia:
 • Excess Insulin
 • Medications (e.g. Insulin Secretagogues, ß-Adrenergic Antagonists,
Differential Diagnosis Algorithm ... setting of Gastric Surgery ... Idiopathic Other Causes ... Renal Failure, Cardiac ... endocrinology #causes
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
exam Determine Cardiac ... event, follow ACC algorithm ... indicated • EKG ... Obtain EKG if: ... postoperative cardiac
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia

Severe sepsis (hypotension persisting after initial fluid challenge of
likely underlying cause ... devices could have caused ... Consider monitoring cardiac ... abandon or limit surgery ... anaesthesia #Sepsis #Anesthesiology
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
in Anaesthesia Causes ... unexplained loss of cardiac ... Consider thrombolysis e.g ... consult vascular surgeon ... Embolism #VTE #Anesthesiology
Bleeding Risk for Various Invasive/Surgical Procedures
Low Risk:
 • Dental extractions (1 or 2 teeth), endodontic (root
pacemaker insertion or internal ... (e.g. breast) ... or spinal) • Cardiac ... surgery (e.g. ... Perioperative #Procedures #Table