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anesthesiology diagnosis management workup intraoperative differential cardiac bradycardia cardiacarrest cardiology cico cooling cyanosis difficult hypotension hypoxia increased intubate intubation neuroprotection
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
maintained fever CAUSES ... Allergic reaction / anaphylaxis ... #Differential #Causes ... Anesthesiology #Anesthesia ... #Checklist #Diagnosis
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
• Check ECG rhythm ... hyperkalaemia Hypothermia ... 10) Acidosis Anaphylaxis ... CardiacArrest #Checklist ... Intraoperative #Checklist
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
pulse or impending arrest ... obtain 12-lead ECG ... amniotic (→ 3-5); anaphylaxis ... -1); malignant hyperthermia ... Intraoperative #Checklist
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
and positioning (e.g ... ischaemia → 3-12 o Anaphylaxis ... (eg steroid dependency ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
Intraoperative Anaphylaxis ... • Maintain the airway ... alternate vasopressor (e.g ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
in Anaesthesia ... blood gas, 12-lead ECG ... Bronchospasm → 3-4 o Anaphylaxis ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia This is the last resort when
Guidelines for Crises ... expertise e.g. ... and then cardiac arrest ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
, e.g. central line ... • Maintain the airway ... Call for cardiac arrest ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
Guidelines for Crises ... Consider known drug causes ... (eg. remifentanil ... hyperkalaemia, hypothermia ... Intraoperative #Checklist
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
blood gas, 12-lead ECG ... Bronchospasm → 3-4 o Anaphylaxis ... o Malignant hyperthermia ... Intraoperative #Checklist ... Management #Workup #anesthesia
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