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management workup anesthesia checklist intraoperative differential treatment cardiac cardiology endocarditis infections microbiology lung pathophysiology pulmonary abscess aids airway anaphylaxis angiostrongyliasis
Hantavirus Pathogen: Hantavirus - Rodents are the primary reservoir Transmission: • Shed in the urine, feces, saliva of
Prodrome: fever, chills ... , myalgias, nausea ... +/- diarrhea Diagnosis ... #Hantavirus #diagnosis ... #microbiology #infectiousdiseases
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
maintained fever CAUSES ... Sepsis (→ 3-14) e.g ... #Differential #Causes ... #Anesthesiology ... Anesthesia #Checklist #Diagnosis
Rigors And Bacteremia - Overview • Rigors are a response to the release of cytokines and prostaglandins
to a pathogen (e.g ... ): • Shaking chills ... bacteremia • Chills ... Pathophysiology #InfectiousDiseases ... #Diagnosis
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
in Anaesthesia Caused ... , e.g. central line ... tube ❹ Rapid diagnosis ... • Diagnostic ... Cardiac #Tamponade #Anesthesiology
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
hypovolaemia or combined causes ... and positioning (e.g ... (eg steroid dependency ... #Differential #Anesthesiology ... Intraoperative #Checklist #Diagnosis
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 ... #Differential #Anesthesiology ... Intraoperative #Checklist #Diagnosis
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
Guidelines for Crises ... CM5 continuous ECG ... Obtain a 12-lead ECG ... Ischemia #Ischaemia #Anesthesiology ... Intraoperative #Checklist #Diagnosis
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
in Anaesthesia Causes ... Consider thrombolysis e.g ... over 2 h (>65 kg ... Embolism #VTE #Anesthesiology ... Intraoperative #Checklist #Diagnosis
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
arrest where other causes ... as a possible cause ... alternate vasopressor (e.g ... #Anaphylaxis #Anesthesiology ... Intraoperative #Checklist #Diagnosis
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
likely underlying cause ... devices could have caused ... cultures if possible (eg ... anaesthesia #Sepsis #Anesthesiology ... Intraoperative #Checklist #Diagnosis
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