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diagnosis checklist management workup intraoperative differential cardiac cardiology abcds abcs airway arrest basicplan basics bradycardia cardiacarrest cooling crisis cyanosis hypertension
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
Airway • Check position ... not resolving, call ... help AND check arterial ... levelling patient position ... #Differential #Anesthesiology
Intraoperative Hypertension - Guidelines for Crises in Anaesthesia Hypertension is most commonly due to inappropriate depth of
Recheck blood pressure ... Airway • Check position ... consider intra-arterial ... problem (Box B). ❽ Call ... #Hypertension #Anesthesiology
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
Airway • Check position ... intrathoracic pressure ... in Box E and call ... #Differential #Anesthesiology ... #Anesthesia #Intraoperative
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
dysfunction). ❶ Call ... to achieve mean arterial ... pressure ≥ 65 mmHg ... #Sepsis #Anesthesiology ... #Anesthesia #Intraoperative
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
Airway • Check position ... CO2 is absent, presume ... Evaluate the airway pressure ... #Differential #Anesthesiology ... #Anesthesia #Intraoperative
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
ischaemia ❶ Call ... resolve: • Call ... Consider invasive arterial ... blood pressure ... Ischemia #Ischaemia #Anesthesiology
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
Guidelines for Crises ... Airway • Check position ... problem (Box C). ❽ Call ... Consider known drug causes ... #Bradycardia #Anesthesiology
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
Guidelines for Crises ... Airway • Check position ... control (Box C). ❽ Call ... #Tachycardia #Anesthesiology ... #Anesthesia #Intraoperative
Widened Pulse Pressure - Differential Diagnosis and Pathophysiology Pulse pressure is the difference between the systolic blood
Stroke Volume / Arterial ... Physiologic Causes ... Pregnancy • Well-conditioned ... significantly positive ... Worse outcomes in CKD
Malignant Hyperthermia Crisis - Guidelines for Crises in Anaesthesia Unexplained increase in ETCO2 AND tachycardia AND increased
other, more common causes ... INVESTIGATIONS Arterial ... 30 mins, U&E, CK ... Hyperthermia #Crisis #Anesthesiology ... #Anesthesia #Intraoperative
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