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anesthesiology checklist diagnosis management workup anaesthetic arrest cardiacarrest crisis cyanosis differential difficult embolism embolus hyperthermia intubate intubation local malignant neuroprotection
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 ... done. ❸ Declare CICO ... trolley and then cardiac ... #Intraoperative
Intraoperative Bronchospasm - Guidelines for Crises in Anaesthesia ❶ Call for help and inform theatre team of
Intraoperative Bronchospasm ... . ❷ Give 100% oxygen ... consider → 2-2 Hypoxia ... 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 ... ) → 3-12 o Cardiac ... o Aspiration, pulmonary
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
Cardiac Arrest - ... ). ❷ Adequate oxygen ... flow, give 100% oxygen ... 4 H’s, 4 T’s: Hypoxia ... #Intraoperative
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... , e.g. central line ... . ❸ Give 100% oxygen ... Anesthesiology #Anesthesia ... #Intraoperative
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Causes: thrombus ... , tachycardia, hypoxemia ... unexplained loss of cardiac ... possible • If central ... Anesthesiology #Anesthesia
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
Intraoperative Tachycardia ... analgesia. ❷ Adequate oxygen ... Also consider: central ... hypovolaemia; primary cardiac ... #Intraoperative
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia Signs of severe toxicity: • Sudden alteration in
Guidelines for Crises ... problem. ❸ Call for cardiac ... . ❹ Give 100% oxygen ... Anesthesiology #Anesthesia ... #Intraoperative
Malignant Hyperthermia Crisis - Guidelines for Crises in Anaesthesia Unexplained increase in ETCO2 AND tachycardia AND increased
AND increased oxygen ... dantrolene and cardiac ... ❾ Begin active cooling ... • Cooling jackets ... #Intraoperative
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia Outcome from cardiac arrest is determined by
Guidelines for Crises ... Start glycaemic control ... • Start cooling ... #Cooling #Neuroprotection ... #Intraoperative
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