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diagnosis management anesthesia checklist intraoperative workup differential cardiac cardiology endocarditis infectiousdiseases abscess airway anaphylaxis arrest bradycardia cardiacarrest cooling cyanosis difficult
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia This is the last resort when
Can’t Oxygenate (CICO ... Guidelines for Crises ... done. ❸ Declare CICO ... airway expertise e.g ... Intubation #Difficult #Anesthesiology
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
maintained fever CAUSES ... Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... #Differential #Causes ... #Anesthesiology
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
hypovolaemia or combined causes ... pressure as a cause ... and positioning (e.g ... (eg steroid dependency ... #Differential #Anesthesiology
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
in Anaesthesia Caused ... or iatrogenic causes ... , e.g. central line ... pericardiocentesis kit (eg ... Cardiac #Tamponade #Anesthesiology
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
should identify any cause ... surgery related cause ... blood gas, 12-lead ECG ... POTENTIAL CAUSES ... #Differential #Anesthesiology
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
Guidelines for Crises ... trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... Ischemia #Ischaemia #Anesthesiology
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Guidelines for Crises ... in Anaesthesia Causes ... Consider thrombolysis e.g ... over 2 h (>65 kg ... Embolism #VTE #Anesthesiology
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
arrest where other causes ... chlorhexidine as cause ... as a possible cause ... alternate vasopressor (e.g ... #Anaphylaxis #Anesthesiology
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
Guidelines for Crises ... likely underlying cause ... devices could have caused ... cultures if possible (eg ... anaesthesia #Sepsis #Anesthesiology
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
The probable cause ... and treat the cause ... • Check ECG rhythm ... POTENTIAL CAUSES ... #Differential #Anesthesiology
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