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diagnosis anesthesiology checklist intraoperative workup differential treatment cardiac hematology airway cardiology disease lupus product reactions renal sle alcoholic algorithm anaphylaxis
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
maintained fever CAUSES ... • Intracranial blood ... Traumatic brain injury ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
perfusion, recheck blood ... and positioning (e.g ... adult, 10 ml.kg-1 paediatric ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
of 30ml.kg-1 or blood ... likely underlying cause ... cultures if possible (eg ... Discuss ongoing management ... Checklist #Diagnosis #Management
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
of blood, pus, ... , e.g. central line ... Plan definitive management ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
perfusion, recheck blood ... check arterial blood ... gas, 12-lead ECG ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
Guidelines for Crises ... CM5 continuous ECG ... invasive arterial blood ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Causes: thrombus ... over 2 h (>65 kg ... mainstay of initial management ... Tell surgeon to flood ... Anesthesiology #Anesthesia
Hydroxychloroquine Serum Measurement in SLE • Terminal elimination half-life = 40 days ([HCQI reflects long-term intake)
intake) • Target blood ... Insufficient blood ... (e.g. renal failure ... Measurement #SLE #rheumatology ... levels #lupus #management
Intraoperative Patient Fire - Guidelines for Crises in Anaesthesia Evidence of fire (smoke, heat, odour, flash, flame)
Guidelines for Crises ... Consider inhalational injury ... depending on degree of injury ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
as a possible cause ... ❻ If systolic blood ... alternate vasopressor (e.g ... -10 ml clotted blood ... Checklist #Diagnosis #Management
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