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management anesthesia anesthesiology intraoperative differential cardiology nephrology acute aki anaesthetic anaphylaxis bradycardia cardiac cardiacarrest children cico cva cyanosis difficult fire
Simplified Approach to Acute Kidney Injury (AKI) 1) IS THIS AN EMERGENCY? Is there a dialysis indication
to Acute Kidney Injury ... you confirmed diagnosis ... CONSIDER INTRINSIC CAUSES ... KidneyInjury #simplified #workup ... #diagnosis #nephrology
Intraoperative Patient Fire - Guidelines for Crises in Anaesthesia Evidence of fire (smoke, heat, odour, flash, flame)
avoid N2O • Assess ... Consider inhalational injury ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
and positioning (e.g ... (eg steroid dependency ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
surgery related cause ... blood gas, 12-lead ECG ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Septic Emboli Cause ... Injury By: • Early ... Diagnosis? ... ↑ ESR, CRP • EKG ... Treat underlying cause
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia This is the last resort when
expertise e.g. ... Front of Neck Access ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
maintained fever CAUSES ... Traumatic brain injury ... Anesthesiology #Anesthesia #Checklist ... #Diagnosis #Management ... #Workup
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
• Maintain the airway ... • Diagnostic ... pericardiocentesis, re-assess ... Intraoperative #Checklist ... #Workup
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
• If i.v. access ... • Check ECG rhythm ... CardiacArrest #Checklist ... #Diagnosis #Management ... #Workup
Pyogenic liver abscess in children Common bacterial causes in children: • S.aureus • Strep spp • Enteric
Common bacterial causes ... Hepatic artery (e.g ... ., endocarditis) ... #differential #diagnosis ... #hepatology
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