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management anesthesia intraoperative workup cardiology cardiac differential endocarditis anaesthetic anaphylaxis cardiacarrest cico difficult electricity hyperkalemia infectiousdiseases intubate intubation ischaemia ischemia
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
hypertension, tachy- or bradycardia ... especially in heart failure ... Ischemia #Ischaemia #Anesthesiology ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
Consider known drug causes ... (eg. remifentanil ... #Anesthesiology ... Intraoperative #Checklist ... #Diagnosis #Management
Mains Electricity Failure - Guidelines for Crises in Anaesthesia Unexpected total power failure is rare and unpredictable.
Mains Electricity Failure ... equipment (Box C). ❽ Assess ... #Anesthesiology ... Intraoperative #Checklist ... #Diagnosis #Management
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
tube ❹ Rapid diagnosis ... • Diagnostic ... pericardiocentesis, re-assess ... Cardiac #Tamponade #Anesthesiology ... Intraoperative #Checklist
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Generalized: • Chills ... New-onset Heart Failure ... Septic Emboli Cause ... ↑ ESR, CRP • EKG ... symptomatic heart failure
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
surgery; equipment failure ... • If i.v. access ... • Check ECG rhythm ... #Differential #Anesthesiology ... #Diagnosis #Management
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia Signs of severe toxicity: • Sudden alteration in
collapse: sinus bradycardia ... establish intravenous access ... Anaesthetic #Toxicity #Anesthesiology ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
tachycardia or bradycardia ... alternate vasopressor (e.g ... #Anaphylaxis #Anesthesiology ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
central and arterial access ... cultures if possible (eg ... anaesthesia #Sepsis #Anesthesiology ... Intraoperative #Checklist ... #Diagnosis #Management
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Hyperkalemia - Diagnosis ... palpitations, bradycardia ... - Renal Failure ... only if no clear cause ... Definitive in ESRD or failure
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