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management diagnosis anesthesiology checklist workup intraoperative differential classification criticalcare overview acquired airway allergy antibiotics cap cardiacarrest community coverage cyanosis hyperthermia
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
maintained fever CAUSES ... Sepsis (→ 3-14) e.g ... Allergic reaction / anaphylaxis ... #Differential #Causes ... Anesthesiology #Anesthesia
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
hypovolaemia or combined causes ... and positioning (e.g ... ischaemia → 3-12 o Anaphylaxis ... (eg steroid dependency ... Anesthesiology #Anesthesia
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
Intraoperative Anaphylaxis ... arrest where other causes ... alternate vasopressor (e.g ... #Anaphylaxis # ... Anesthesiology #Anesthesia
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
in Anaesthesia ... blood gas, 12-lead ECG ... POTENTIAL CAUSES ... Bronchospasm → 3-4 o Anaphylaxis ... Anesthesiology #Anesthesia
Vasopressors and Inotropes - Pharmacology Summary Vasopressors Phenylephrine (alpha-1) • Increases BP, SVR • Risk of reflex bradycardia
first agent in shock ... • Higher doses cause ... • 1st agent in anaphylaxis ... line in septic shock ... cAMP/cGMP • Causes
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
The probable cause ... • Check ECG rhythm ... POTENTIAL CAUSES ... 10) Acidosis Anaphylaxis ... Anesthesiology #Anesthesia
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
likely underlying cause ... ) or septic shock ... devices could have caused ... cultures if possible (eg ... Anesthesiology #Anesthesia
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 ... Anesthesiology #Anesthesia
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... of hypotension Shock ... oliguria (< 0.5 mL/kg ... • Reactionary: anaphylaxis ... #differential #causes
Manifestations of Anaphylaxis by Body System Dermatologic/mucosal - Eyes: periorbital swelling/erythema, injected conjunctiva, tears - Oral mucosa:
Manifestations of Anaphylaxis ... : bradycardia, shock ... Gastrointestinal - Nausea ... metallic taste, paresthesia ... Signs #Symptoms #Anaphylaxis
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