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diagnosis anesthesiology management workup intraoperative differential cardiac manifestations symptoms airway allergy cardiacarrest cyanosis embolism embolus hyperthermia hypotension hypoxia increased ischaemia
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
maintained fever CAUSES ... Allergic reaction / anaphylaxis ... hyperthermia crisis (late sign ... Phaeochromocytoma Neurologic ... #Checklist #Diagnosis
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
Intraoperative Anaphylaxis ... of more of the signs ... alternate vasopressor (e.g ... 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 Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
Guidelines for Crises ... is unconscious, signs ... CM5 continuous ECG ... Anesthesiology #Anesthesia ... 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
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
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
Caused by an accumulation ... , e.g. central line ... examination and vital signs ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Causes: thrombus ... Signs: hypotension ... over 2 h (>65 kg ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
Guidelines for Crises ... obtain 12-lead ECG ... amniotic (→ 3-5); anaphylaxis ... Guidelines for crises ... Intraoperative #Checklist
Manifestations of Anaphylaxis by Body System Dermatologic/mucosal - Eyes: periorbital swelling/erythema, injected conjunctiva, tears - Oral mucosa:
Manifestations of Anaphylaxis ... Gastrointestinal - Nausea ... abdominal cramps Neurologic ... Diagnosis #Allergy #Signs ... #Symptoms #Anaphylaxis
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