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anesthesia anesthesiology diagnosis intraoperative management clinical echocardiogram pocus anaesthetic anaphylaxis central constrictive differential high hypotension local neuraxial pericarditis plax pneumopericardium
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia Signs of severe toxicity: • Sudden alteration in
in Anaesthesia Signs ... bradycardia, conduction blocks ... problem. ❸ Call for cardiac ... • Maintain the airway ... Intraoperative #Checklist
Air gap sign: loss of cardiac image during systole in Pneumopericardium Interesting observation –loss of cardiac window
Air gap sign: loss ... Pneumopericardium #clinical #cardiology ... echocardiogram #a4c ... #plax #pocus #airgap ... #sign
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 High Central Neuraxial Block - Guidelines for Crises in Anaesthesia • Can occur with deliberate or accidental
Central Neuraxial Block ... accidental injection of local ... that may mimic signs ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
effects of neuraxial block ... rate, rhythm, perfusion ... tamponade → 3-9 o Local ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Constrictive Pericarditis on Echocardiogram A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
ASA, Kussmaul's sign ... echocardiogram to workup ... Echocardiogram #a4c ... #pocus #clinical ... #cardiology
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 Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
of blood, pus, effusion ... • Maintain the airway ... examination and vital signs ... • Infiltrate local ... Intraoperative #Checklist
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexpected cardiac ... of more of the signs ... • Maintain the airway ... Intraoperative #Checklist ... Diagnosis #Management #Workup
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