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management anesthesiology workup intraoperative differential anaphylaxis arrest bradycardia cardiac cardiacarrest cardiology comparison cooling cyanosis evaluation hyperthermic hypoxia neuroprotection pheochromocytoma preop
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Peri-operative Hyperthermia ... maintained fever CAUSES ... #Perioperative ... Differential #Causes ... #Checklist #Diagnosis
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
patient’s underlying medical ... • Check ECG rhythm ... hyperkalaemia Hypothermia ... Anesthesiology #Anesthesia ... #Diagnosis #Management
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
the patient’s perioperative ... complications from anesthesia ... Medical history ... medical and surgical ... stratification #diagnosis
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
devices could have caused ... Check serial lactates ... cultures if possible (eg ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
Guidelines for Crises ... obtain 12-lead ECG ... -1); malignant hyperthermia ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
as a possible cause ... alternate vasopressor (e.g ... as patient is stable ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
(eg. remifentanil ... hyperkalaemia, hypothermia ... Anesthesiology #Anesthesia ... Intraoperative #Checklist ... #Diagnosis #Management
Hyperthermic Toxidromes Five toxidromes may present with overlapping features: hyperthermia, rhabdomyolysis, altered mental status/seizures. • Sympathomimetic -
rhabdomyolysis, altered mental ... dopamine blockers (e.g ... pharmacogenetic disease caused ... Toxidromes #comparison #table ... #diagnosis #differential
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
blood gas, 12-lead ECG ... o Malignant hyperthermia ... Intraoperative #Checklist ... #Diagnosis #Workup ... Management #Workup #anesthesia
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia Outcome from cardiac arrest is determined by
Obtain 12-lead ECG ... • Avoid hyperthermia ... Anesthesiology #Anesthesia ... Intraoperative #Checklist ... #Diagnosis #Management
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