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anesthesia anesthesiology intraoperative differential cardiac endocarditis airway arrest bradycardia causes cooling criticalcare cyanosis evaluation hyperthermia hypotension hypoxia increased ischaemia ischemia
Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
endocarditis w/ septic pulmonary ... if suspected (e.g ... (+/- daily EKG) ... of infection (e.g ... #criticalcare #diagnosis
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... malignant syndrome (e.g ... #Diagnosis #Management ... #Workup
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
indicated • EKG ... Obtain EKG if: ... one post op Cardiology ... medical and surgical management ... stratification #diagnosis
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 ... #Diagnosis #Management ... #Workup
Intraoperative Laryngospasm and Stridor - Guidelines for Crises in Anaesthesia ❶ Call for help and inform theatre
obstructing the airway, e.g ... negative-pressure pulmonary ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
and positioning (e.g ... Endocrine cause (eg ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
blood gas, 12-lead ECG ... o Aspiration, pulmonary ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Cerebral > Splenic, pulmonary ... Differential Diagnosis ... Endocarditis Diagnosis ... ↑ ESR, CRP • EKG ... #management #cardiology
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
known drug causes (eg ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup #Cardiology
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia Outcome from cardiac arrest is determined by
Obtain 12-lead ECG ... and discuss with cardiology ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
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