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diagnosis management anesthesiology intraoperative workup cardiology differential ischemia anaesthetic anaphylaxis block cad cardiacarrest central cyanosis embolism high hypotension hypoxia ischaemia
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
is unconscious, signs ... abnormalities (hypo- or hypertension ... , tachy- or bradycardia ... CM5 continuous ECG ... Intraoperative #Checklist
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Causes: thrombus ... Signs: hypotension ... unexplained loss of cardiac ... Consider thrombolysis e.g ... Intraoperative #Checklist
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
tachycardia or bradycardia ... of more of the signs ... 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
for Crises in Anaesthesia ... system including valves ... give i.v fluid bolus ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
Myocardial infarction: Classified into 5 types based on etiology and circumstances: Type 1: Spontaneous MI caused by ischemia
Spontaneous MI caused ... , hypertension), ... artery spasm or embolism ... sudden unexpected cardiac ... intervention (signs
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
OR severe hypotension ... system including valves ... Consider known drug causes ... (eg. remifentanil ... Intraoperative #Checklist
Cardiac Stress Testing Exercise: • Everyone who can exercise should! • They must be able to raise
• They must be able ... 85% of predicted value ... production to cause ... Contraindications: - Bradycardia ... & hypotension.
High Central Neuraxial Block - Guidelines for Crises in Anaesthesia • Can occur with deliberate or accidental
and bradycardia ... that may mimic signs ... • Embolism. ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... • Call for cardiac ... measures: • Fluid bolus ... examination and vital signs ... Intraoperative #Checklist
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
breathing system valves ... • Check ECG rhythm ... Anaphylaxis (→ 3-1) Embolism ... CardiacArrest #Checklist ... Intraoperative #Checklist
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