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diagnosis management anesthesiology workup intraoperative differential cardiac hyperthermia algorithm anaphylaxis arrest bradycardia capillary clarksons complexes cooling crisis disease embolism embolus
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Treatment depends ... maintained fever CAUSES ... #Differential #Causes ... Anesthesiology #Anesthesia ... #Checklist #Diagnosis
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
Guidelines for Crises ... remember to tailor treatment ... obtain 12-lead ECG ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
and positioning (e.g ... non-sinus → 2-7 Tachycardia ... (eg steroid dependency ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Treatment of Stable ... Treat underlying cause ... Treat underlying cause ... #Treatment #management ... #cardiology #algorithm
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexplained tachycardia ... trolley, anaphylaxis treatment ... require prolonged treatment ... alternate vasopressor (e.g ... Intraoperative #Checklist
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Causes: thrombus ... : hypotension, tachycardia ... over 2 h (>65 kg ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
Guidelines for Crises ... CM5 continuous ECG ... consultation with cardiology ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
Caused by an accumulation ... , e.g. central line ... thoracotomy is a better treatment ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
Malignant Hyperthermia Crisis - Guidelines for Crises in Anaesthesia Unexplained increase in ETCO2 AND tachycardia AND increased
increase in ETCO2 AND tachycardia ... other, more common causes ... ❹ Call for MH treatment ... COMPLICATIONS AND OUTLINE TREATMENTS ... Intraoperative #Checklist
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
remember to tailor treatment ... Consider known drug causes ... (eg. remifentanil ... Intraoperative #Checklist ... Management #Workup #Cardiology
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