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diagnosis anesthesiology management workup intraoperative differential airway allergy block cardiac cardiacarrest cardiology central high hyperthermia hypotension hypoxia increased ischaemia ischemia
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
Manifestations of Anaphylaxis by Body System Dermatologic/mucosal - Eyes: periorbital swelling/erythema, injected conjunctiva, tears - Oral mucosa:
Manifestations of Anaphylaxis ... hypotension - Late: bradycardia ... Gastrointestinal - Nausea ... metallic taste, paresthesia ... Signs #Symptoms #Anaphylaxis
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 Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
Intraoperative Anaphylaxis ... tachycardia or bradycardia ... alternate vasopressor (e.g ... 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 ... Anesthesiology #Anesthesia ... 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 Bronchospasm - Guidelines for Crises in Anaesthesia ❶ Call for help and inform theatre team of
Guidelines for Crises ... intubation. ❼ If anaphylaxis ... Hypoxia/desaturation/cyanosis ... Guidelines for crises ... Intraoperative #Checklist
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
Guidelines for Crises ... hypertension, tachy- or bradycardia ... CM5 continuous ECG ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
High Central Neuraxial Block - Guidelines for Crises in Anaesthesia • Can occur with deliberate or accidental
hypotension and bradycardia ... Plan to ensure hypnosis ... • Bradycardia ... Consider other causes ... Intraoperative #Checklist
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
The probable cause ... • Check ECG rhythm ... 10) Acidosis Anaphylaxis ... CardiacArrest #Checklist ... Intraoperative #Checklist
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
should identify any cause ... blood gas, 12-lead ECG ... Bronchospasm → 3-4 o Anaphylaxis ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
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