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diagnosis management anesthesia checklist workup cardiology differential endocarditis anaesthetic anaphylaxis arrest cooling embolism embolus high hypotension infectiousdiseases ischaemia ischemia local
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
Intraoperative Cardiac ... Guidelines for Crises ... hypertension, tachy- or bradycardia ... Ischemia #Ischaemia #Anesthesiology ... #Anesthesia #Intraoperative
High Central Neuraxial Block - Guidelines for Crises in Anaesthesia • Can occur with deliberate or accidental
High Central Neuraxial ... Block - Guidelines ... • Bradycardia ... #Anesthesiology ... #Anesthesia #Intraoperative
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia Signs of severe toxicity: • Sudden alteration in
collapse: sinus bradycardia ... , conduction blocks ... problem. ❸ Call for cardiac ... Anaesthetic #Toxicity #Anesthesiology ... #Anesthesia #Intraoperative
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
Intraoperative Sepsis ... steps. ❽ Insert central ... Consider monitoring cardiac ... cultures if possible (eg ... anaesthesia #Sepsis #Anesthesiology
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... , e.g. central line ... • Call for cardiac ... #Tamponade #Anesthesiology ... #Anesthesia #Intraoperative
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
effects of neuraxial block ... consider: o Cardiac ... Sepsis → 3-14 o Cardiac ... #Differential #Anesthesiology ... #Anesthesia #Intraoperative
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Intraoperative Circulatory ... unexplained loss of cardiac ... possible • If central ... Embolism #VTE #Anesthesiology ... #Anesthesia #Intraoperative
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
Intraoperative Anaphylaxis ... tachycardia or bradycardia ... alternate vasopressor (e.g ... #Anaphylaxis #Anesthesiology ... #Anesthesia #Intraoperative
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
Intraoperative Tachycardia ... obtain 12-lead ECG ... Also consider: central ... hypovolaemia; primary cardiac ... #Tachycardia #Anesthesiology
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
catheter • Recent dental ... Septic Emboli Cause ... ↑ ESR, CRP • EKG ... sided IE: heart block ... lesions, heart block
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