23 results
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
maintained fever CAUSES ... Allergic reaction / anaphylaxis ... #Differential #Causes ... #Anesthesiology ... Checklist #Diagnosis #Management
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
• Unexplained hypotension
• Unexplained bronchospasm (wheeze may be absent
Intraoperative Anaphylaxis ... arrest trolley, anaphylaxis ... alternate vasopressor (e.g ... #Anesthesiology ... Checklist #Diagnosis #Management
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
and positioning (e.g ... ischaemia → 3-12 o Anaphylaxis ... (eg steroid dependency ... #Differential #Anesthesiology ... Checklist #Diagnosis #Management
Increased Airway Pressure - Guidelines for Crises in Anaesthesia

Using these steps from start to end should
should identify any cause ... blood gas, 12-lead ECG ... Bronchospasm → 3-4 o Anaphylaxis ... #Differential #Anesthesiology ... Checklist #Diagnosis #Management
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
, e.g. central line ... pericardiocentesis kit (eg ... Plan definitive management ... Cardiac #Tamponade #Anesthesiology ... Checklist #Diagnosis #Management
Vasopressors and Inotropes - Pharmacology Summary
Vasopressors
Phenylephrine (alpha-1)
 • Increases BP, SVR
 • Risk of reflex bradycardia
• Higher doses cause ... • 1st agent in anaphylaxis ... • D1 (1-2 mcg/kg ... cAMP/cGMP • Causes ... Pharmacology #Summary #management
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
in Anaesthesia Causes ... over 2 h (>65 kg ... mainstay of initial management ... mainstay of initial management ... Embolism #VTE #Anesthesiology
Cardiac Arrest - Guidelines for Crises in Anaesthesia

The probable cause is one or more of: something
The probable cause ... • Check ECG rhythm ... 10) Acidosis Anaphylaxis ... #Differential #Anesthesiology ... Checklist #Diagnosis #Management
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia

Severe sepsis (hypotension persisting after initial fluid challenge of
likely underlying cause ... cultures if possible (eg ... Discuss ongoing management ... anaesthesia #Sepsis #Anesthesiology ... Checklist #Diagnosis #Management
Antibiotics for severe community-onset pneumonia 

Atypical coverage always 

- Usually azithromycin 500 mg daily 

- Doxycycline
Immunocompromise (e.g ... of penicillin anaphylaxis ... only in selected cases ... Antibiotics #Coverage #Management