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anesthesiology diagnosis intraoperative management workup differential anaesthetic cardiacarrest cardiology central cyanosis high hypotension hypoxia increased local neuraxial pressure tachycardia toxicity
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
effects of neuraxial block ... and positioning (e.g ... ischaemia → 3-12 o Anaphylaxis ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
blood gas, 12-lead ECG ... Bronchospasm → 3-4 o Anaphylaxis ... o Circulatory embolus ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
High Central Neuraxial Block - Guidelines for Crises in Anaesthesia • Can occur with deliberate or accidental
Central Neuraxial Block ... Consider other causes ... • Embolism. ... 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
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
• Check ECG rhythm ... 10) Acidosis Anaphylaxis ... (→ 3-1) Embolism ... CardiacArrest #Checklist ... Intraoperative #Checklist
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
tachycardia or bradycardia ... • Maintain the airway ... alternate vasopressor (e.g ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
obtain 12-lead ECG ... ); circulatory embolus ... amniotic (→ 3-5); anaphylaxis ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia Signs of severe toxicity: • Sudden alteration in
collapse: sinus bradycardia ... , conduction blocks ... • Maintain the airway ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
should identify any cause ... blood gas, 12-lead ECG ... Bronchospasm → 3-4 o Anaphylaxis ... o Circulatory embolism ... Intraoperative #Checklist
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