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diagnosis management anesthesia anesthesiology workup intraoperative differential cardiac airway anaphylaxis arrest bradycardia cardiacarrest cardiology cico cooling cva cyanosis difficult embolism
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
maintained fever CAUSES ... Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... #Differential #Causes ... Anesthesiology #Anesthesia #Checklist
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
and positioning (e.g ... team. ❼ Consider causes ... o Endocrine cause ... (eg steroid dependency ... Intraoperative #Checklist
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
in Anaesthesia Caused ... or iatrogenic causes ... , e.g. central line ... pericardiocentesis kit (eg ... Intraoperative #Checklist
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
should identify any cause ... surgery related cause ... Consider potential causes ... blood gas, 12-lead ECG ... Intraoperative #Checklist
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
The probable cause ... evaluating potential causes ... • Check ECG rhythm ... CardiacArrest #Checklist ... Intraoperative #Checklist
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
Guidelines for Crises ... trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... Intraoperative #Checklist
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
arrest where other causes ... chlorhexidine as cause ... as a possible cause ... alternate vasopressor (e.g ... Intraoperative #Checklist
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Guidelines for Crises ... in Anaesthesia Causes ... Consider thrombolysis e.g ... over 2 h (>65 kg ... Intraoperative #Checklist
How do you work up an ischemic CVA? A) Initial Evaluation • ABCs • IV access, monitor
Evaluate underlying cause ... Cardioembolic: • ECG ... Ruled out other causes ... workup #diagnosis #checklist
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
Guidelines for Crises ... likely underlying cause ... devices could have caused ... cultures if possible (eg ... Intraoperative #Checklist
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