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diagnosis anesthesiology checklist intraoperative cardiology differential bradycardia perioperative alteredmentalstatus anaphylaxis cardiac causes clinical criticalcare delirium embolism embolus evaluation foamed heartfailure
Management Algorithm for Confusion - Substrate verification, glucose, oxygen checks - Toxidrome present - Focal findings on neurologic examination -
Management Algorithm ... for Confusion ... electrolytes, CXR, ECG ... include cranial CT ... , ABG, CSF, thyroid
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 ... Anesthesiology #Anesthesia ... #Workup
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
is unconscious, signs ... trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... #Workup
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Signs: hypotension ... Consider thrombolysis e.g ... over 2 h (>65 kg ... desaturation, confusion ... #Workup
Bradycardia 1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... worsening brady, Signs ... AMS, SOB from CHF ... ECG: Bad block? ... Connect ECG Leads
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
of more of the signs ... an adrenaline infusion ... alternate vasopressor (e.g ... Checklist #Diagnosis #Management ... #Workup
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
Breathing • Check chest ... known drug causes (eg ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management ... #Workup #Cardiology
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
complications from anesthesia ... disease b) CHF ... event, follow ACC algorithm ... indicated • EKG ... Obtain EKG if:
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Signs of congestion ... ECG is vital while ... #differential #algorithm ... #management #cardiology ... #heartfailure #chf
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