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anesthesiology checklist intraoperative management workup differential bradycardia cardiac cardiacarrest cyanosis evaluation hypotension hypoxia increased perioperative preop preoperative pressure risk stratification
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
Increase fresh gas flow ... and positioning (e.g ... ischaemia → 3-12 o Anaphylaxis ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
Increase fresh gas flow ... blood gas, 12-lead ECG ... Bronchospasm → 3-4 o Anaphylaxis ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Maintain the airway ... arrest, start CPR ... alternate vasopressor (e.g ... as patient is stable ... Intraoperative #Checklist #Diagnosis
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
Guidelines for Crises ... Check fresh gas flow ... obtain 12-lead ECG ... amniotic (→ 3-5); anaphylaxis ... Intraoperative #Checklist #Diagnosis
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
indicated, start CPR ... • Maintain the airway ... • Diagnostic ... • Low tidal ... volume, low/no PEEP
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
Increase fresh gas flow ... • Check ECG rhythm ... POTENTIAL CAUSES ... 10) Acidosis Anaphylaxis ... Intraoperative #Checklist #Diagnosis
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
Check fresh gas flow ... Consider known drug causes ... (eg. remifentanil ... Intraoperative #Checklist #Diagnosis ... Management #Workup #Cardiology
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
Increase fresh gas flow ... • If SpO2 low ... blood gas, 12-lead ECG ... Bronchospasm → 3-4 o Anaphylaxis ... Intraoperative #Checklist #Diagnosis
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
complications from anesthesia ... Obtain EKG if: ... Orthopedic • Low ... one post op Cardiology ... stratification #diagnosis
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