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diagnosis management anesthesiology checklist workup differential intraoperative algorithm convulsive epilepticus status treatment acep cardiac cardiacarrest cardiology catheterization complications cyanosis hyperthermia
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
maintained fever CAUSES ... transfusion • Allergic ... reaction / anaphylaxis ... Phaeochromocytoma Neurologic ... Anesthesiology #Anesthesia
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 ... o Endocrine cause ... (eg steroid dependency ... Anesthesiology #Anesthesia
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
surgery related cause ... blood gas, 12-lead ECG ... POTENTIAL CAUSES ... Bronchospasm → 3-4 o Anaphylaxis ... Anesthesiology #Anesthesia
Differential Diagnosis of Wheezing • Extrathoracic (wheezing Is typically inspiratory): Anaphylaxis, Vocal cord pathology, Laryngeal stenosis,
inspiratory): Anaphylaxis ... Intrathoracic, upper airway ... Parasitic infection (e.g ... Churg-Strauss syndrome, Allergic ... Differential #Diagnosis #Causes
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
Intraoperative Anaphylaxis ... • Maintain the airway ... alternate vasopressor (e.g ... trigger agents (allergy ... #Anaphylaxis #
Manifestations of Anaphylaxis by Body System Dermatologic/mucosal - Eyes: periorbital swelling/erythema, injected conjunctiva, tears - Oral mucosa:
Manifestations of Anaphylaxis ... Respiratory - Lower airway ... arrest - Upper airway ... abdominal cramps Neurologic ... play #Diagnosis #Allergy
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 Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
Guidelines for Crises ... • Confirm airway ... obtain 12-lead ECG ... amniotic (→ 3-5); anaphylaxis ... Guidelines for crises
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
The probable cause ... and treat the cause ... • Confirm airway ... • Check ECG rhythm ... 10) Acidosis Anaphylaxis
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
in Anaesthesia ... blood gas, 12-lead ECG ... Bronchospasm → 3-4 o Anaphylaxis ... in anaesthesia ... Management #Workup #anesthesia
Emergency Treatment Algorithm for Convulsive Status Epilepticus 1. ABCDEFG (ABC's and Don't Ever Forget the Glucose) 2. Airway:
Airway: lateral ... for reversible cause ... Lorazepam 0.1 mg/kg ... Consider consulting anesthesia ... Algorithm #Management #Neurology
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