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diagnosis anesthesia anesthesiology intraoperative differential preoperative risk stratification airway anaphylaxis bleeding cardiacarrest crisis cyanosis embolism embolus evaluation hyperthermia hypotension hypoxia
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
exam Determine Cardiac ... Risk Stratify Type ... What is the type ... postoperative cardiac ... medical and surgical management
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
Intraoperative Cardiac ... rapidly complete the surgery ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Bleeding Risk for Various Invasive/Surgical Procedures Low Risk: • Dental extractions (1 or 2 teeth), endodontic (root
cholecystectomy, hernia ... or spinal) • Cardiac ... surgery (e.g. ... Bleeding #Risk #Preoperative ... #Perioperative
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
unexplained loss of cardiac ... consult vascular surgeon ... N2O • Tell surgeon ... Intraoperative #Checklist ... #Workup
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
something related to surgery ... the reason for surgery ... CardiacArrest #Checklist ... #Diagnosis #Management ... #Workup
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
cardiothoracic surgery ... Plan definitive management ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
Consider monitoring cardiac ... abandon or limit surgery ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
delivery • Pause surgery ... consider: o Cardiac ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
• Consider surgery ... replaced or its type ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexpected cardiac ... non-essential surgery ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
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