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anesthesiology intraoperative workup algorithm cardiology differential anaesthetic cardiacarrest central cico clinica clinical cyanosis echocardiogram evaluation foamed high hypertension hypotension intubate
Mechanical ventilation in obese patients according to the i-STAR Algorithm Intubate • Anticipate difficult airway management and
• Anticipate difficult ... airway management ... and difficult mask ... • FiO2: avoid hyperoxia ... #CriticalCare
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia This is the last resort when
Check optimal airway ... management is in ... Intubate #Intubation #Difficult ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Bronchospasm - Guidelines for Crises in Anaesthesia ❶ Call for help and inform theatre team of
Consider alternate diagnoses ... consider → 2-2 Hypoxia ... Anesthesiology #Anesthesia ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Hypertension - Guidelines for Crises in Anaesthesia Hypertension is most commonly due to inappropriate depth of
oxygen delivery, airway ... Breathing - exclude hypoxia ... alfentanil can be diagnostic ... Intraoperative #Checklist ... #Diagnosis #Management
High Central Neuraxial Block - Guidelines for Crises in Anaesthesia • Can occur with deliberate or accidental
Central Neuraxial Block ... bradycardia – difficulty ... paralysis of the arms ... Intraoperative #Checklist ... #Diagnosis #Management
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
effects of neuraxial block ... : o Cardiac ischaemia ... Anesthesiology #Anesthesia ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
o Cardiac ischaemia ... Intraoperative #Checklist ... #Diagnosis #Workup ... #Management #Workup ... #anesthesia
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
• Confirm airway ... 4 H’s, 4 T’s: Hypoxia ... CardiacArrest #Checklist ... Intraoperative #Checklist ... #Diagnosis #Management
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia Signs of severe toxicity: • Sudden alteration in
bradycardia, conduction blocks ... • Maintain the airway ... Anesthesiology #Anesthesia ... Intraoperative #Checklist ... #Diagnosis #Management
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
complications from anesthesia ... any mention of a difficult ... history of: a) Ischemic ... medical and surgical management ... stratification #diagnosis
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