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diagnosis management anesthesia checklist workup cardiac cardiology differential arrest cardiacarrest cico difficult evacuation infectiousdiseases intubate intubation neuroprotection patient sepsis tamponade
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Generalized: • Chills ... Septic Emboli Cause ... ↑ ESR, CRP • EKG ... Treat underlying cause ... Complications: Abscess
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
Intraoperative Sepsis ... likely underlying cause ... devices could have caused ... cultures if possible (eg ... anaesthesia #Sepsis #Anesthesiology
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
or iatrogenic causes ... , e.g. central line ... pericardiocentesis, re-assess ... Cardiac #Tamponade #Anesthesiology ... #Anesthesia #Intraoperative
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
Endocarditis - Overview ... Generalized: Chills ... Septic emboli cause ... ↑ ESR, CRP • EKG ... Treat underlying cause
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia This is the last resort when
Guidelines for Crises ... airway expertise e.g ... Front of Neck Access ... Intubation #Difficult #Anesthesiology ... #Anesthesia #Intraoperative
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
• If i.v. access ... • Check ECG rhythm ... POTENTIAL CAUSES ... #Differential #Anesthesiology ... #Anesthesia #Intraoperative
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia Outcome from cardiac arrest is determined by
Obtain 12-lead ECG ... • Start cooling ... anaesthesia #Cooling ... Cardiac #Arrest #Anesthesiology ... #Anesthesia #Intraoperative
Emergency Evacuation - Guidelines for Crises in Anaesthesia Anaesthetised or sedated patient requires unplanned transfer because
Guidelines for Crises ... environmental hazard (e.g ... security of i.v access ... Patient #Evacuation #Anesthesiology ... #Anesthesia #Intraoperative
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