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diagnosis anesthesia anesthesiology checklist intraoperative differential algorithm anaphylaxis bells cardiacarrest classification crisis criticalcare crystalloids cyanosis elevation foamed hematology hyperkalemia hyperthermia
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
flattening or inversion ... CM5 continuous ECG ... Obtain a 12-lead ECG ... Checklist #Diagnosis #Management ... #Workup
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
source of energy, conversion ... perfusion - shock->treatments ... before beginning treatment ... perfusion - Cardiac ... failure - Low cardiac
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
/crush injury, ischemia ... reabsorption) Workup ... heparinized tube) • ECG ... only if no clear cause ... line, stabilizes cardiac
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
consider: o Cardiac ... ischaemia → 3-12 ... Sepsis → 3-14 o Cardiac ... Checklist #Diagnosis #Management ... #Workup
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... thoracotomy is a better treatment ... Plan definitive management ... Checklist #Diagnosis #Management ... #Workup
Management of Hyponatremia Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125 Give
Management of Hyponatremia ... SIADH — look for cause ... give specific treatment ... Renal Tubular Acidosis ... #algorithm #treatment
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
trolley, anaphylaxis treatment ... require prolonged treatment ... alternate vasopressor (e.g ... Checklist #Diagnosis #Management ... #Workup
Leukostasis vs Tumor Lysis Syndrome Leukostasis: • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
high WBC count cause ... AKI, acute limb ischemia ... unless worrisome EKG ... with tetany or cardiac ... TLS #diagnosis #management
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
Cardiac Arrest - ... • Check ECG rhythm ... toxicity (→ 3-10) Acidosis ... Checklist #Diagnosis #Management ... #Workup
Bell's Palsy - Diagnosis and Management Summary - GrepMed Handbook Acute Idiopathic Unilateral Facial Nerve (CN7) Palsy Presentation:
, facial nerve ischemia ... No additional workup ... CNS inflammatory cause ... ) • EMG/NCS (rare ... #Treatment #Neurology
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