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management anesthesia anesthesiology intraoperative lysis syndrome tumor anaphylaxis arrest cardiacarrest cooling differential hyperkalemia ischaemia ischemia k leukostasis nephrology neuroprotection oncology
Tumor Lysis Syndrome - Workup and Management Initial workup: BMP, Serum uric acid, LDH, Urine output, Consider
Lysis Syndrome - Workup ... ≥ 8 mg/dL • Potassium ... of the above Treatment ... abnormalities • Cardiac ... Lysis #Syndrome #diagnosis
Leukostasis vs Tumor Lysis Syndrome Leukostasis: • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
leukapheresis - TLS ... unless worrisome EKG ... Lysis #Syndrome #TLS ... #diagnosis #management ... #hematology
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
CM5 continuous ECG ... abnormalities particularly potassium ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Acidosis, Cell Lysis (TLS ... octreotide), hyperK periodic ... reabsorption) Workup ... heparinized tube) • ECG ... line, stabilizes cardiac
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... • Diagnostic ... thoracotomy is a better treatment ... Intraoperative #Checklist ... #Workup
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
• Check ECG rhythm ... CAUSES 4 H’s, 4 T’ ... CardiacArrest #Checklist ... #Diagnosis #Management ... #Workup
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia Outcome from cardiac arrest is determined by
Obtain 12-lead ECG ... immediate postarrest period ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
trolley, anaphylaxis treatment ... require prolonged treatment ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
remember to tailor treatment ... obtain 12-lead ECG ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
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