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anesthesiology diagnosis intraoperative management workup differential allergy cardiacarrest cico cyanosis difficult embolism evacuation hypotension hypoxia increased intubate intubation ischaemia ischemia
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
Cardiac Arrest - ... breathing system valves ... • Check ECG rhythm ... 10) Acidosis Anaphylaxis ... (→ 3-1) Embolism
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
Intraoperative Anaphylaxis ... • Maintain the airway ... alternate vasopressor (e.g ... as patient is stable ... Intraoperative #Checklist
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
system including valves ... give i.v fluid bolus ... ischaemia → 3-12 o Anaphylaxis ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
pulse or impending arrest ... system including valves ... obtain 12-lead ECG ... ); circulatory embolus ... Intraoperative #Checklist
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
system including valves ... blood gas, 12-lead ECG ... Bronchospasm → 3-4 o Anaphylaxis ... o Circulatory embolus ... Intraoperative #Checklist
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
decreased ETCO2 Symptoms ... unexplained loss of cardiac ... Consider thrombolysis e.g ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
Manifestations of Anaphylaxis by Body System Dermatologic/mucosal - Eyes: periorbital swelling/erythema, injected conjunctiva, tears - Oral mucosa:
Manifestations of Anaphylaxis ... - Upper airway ... leads, cyanosis, cardiac ... - Nausea, vomiting ... Allergy #Signs #Symptoms
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 Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
is conscious, symptoms ... arrest trolley ... and 12-lead ECG ... CM5 continuous ECG ... Intraoperative #Checklist
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia This is the last resort when
Guidelines for Crises ... expertise e.g. ... trolley and then cardiac ... arrest trolley. ... Intraoperative #Checklist
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... • Maintain the airway ... arrest trolley ... measures: • Fluid bolus ... Intraoperative #Checklist
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