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anesthesiology checklist diagnosis management workup differential anaesthetic anaphylaxis block cardiacarrest cyanosis difficult embolism high hypotension hypoxia intubate intubation local neuraxial
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia This is the last resort when
Can’t Oxygenate (CICO ... : supply 100% oxygen ... trolley and then cardiac ... Anesthesiology #Anesthesia ... #Intraoperative
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Intraoperative Circulatory ... unexplained loss of cardiac ... possible • If central ... Anesthesiology #Anesthesia ... #Intraoperative
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
analgesia. ❷ Adequate oxygen ... Also consider: central ... hypovolaemia; primary cardiac ... ); circulatory embolus ... Anesthesiology #Anesthesia
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia Signs of severe toxicity: • Sudden alteration in
alteration in mental ... problem. ❸ Call for cardiac ... . ❹ Give 100% oxygen ... Anesthesiology #Anesthesia ... #Intraoperative
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
❶ Adequate oxygen ... AND give 100% oxygen ... give i.v fluid bolus ... Anesthesiology #Anesthesia ... #Intraoperative
High Central Neuraxial Block - Guidelines for Crises in Anaesthesia • Can occur with deliberate or accidental
High Central Neuraxial ... • Give 100% oxygen ... • Embolism. ... #High #Central ... #Intraoperative
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
iatrogenic causes, e.g. central ... . ❸ Give 100% oxygen ... measures: • Fluid bolus ... Anesthesiology #Anesthesia ... #Intraoperative
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
Intraoperative Anaphylaxis ... • Unexpected cardiac ... . ❹ Give 100% oxygen ... Anesthesiology #Anesthesia ... #Intraoperative
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
). ❷ Adequate oxygen ... flow, give 100% oxygen ... Anaphylaxis (→ 3-1) Embolism ... Anesthesiology #Anesthesia ... #Intraoperative
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
Intraoperative Hypoxia ... ❶ Adequate oxygen ... AND give 100% oxygen ... o Circulatory embolism ... → 3-5 o Cardiac
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