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anesthesia anesthesiology intraoperative differential cardiac cardiology treatment airway nephrology neurology acute aki alcoholic algorithm anaesthetic anaphylaxis arrest bells blood bloodloss
Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
Endocarditis checklist ... • Myocardial abscess ... block (+/- daily EKG ... #checklist #criticalcare ... #diagnosis #management
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
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 ... #diagnosis #management
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
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
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
pericardiocentesis, re-assess ... Plan definitive management ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
How do you work up an ischemic CVA? A) Initial Evaluation • ABCs • IV access, monitor
How do you work ... • ABCs • IV access ... Cardioembolic: • ECG ... #CVA #stroke #workup ... #diagnosis #checklist
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
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
likely underlying cause ... devices could have caused ... 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
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