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anesthesiology diagnosis intraoperative management workup differential anaphylaxis block cardiac central cyanosis embolism evacuation high hypotension hypoxia indications ischaemia mi myocardialinfarction
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 ... intervention (signs ... #CAD #thrombosis
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
is unconscious, signs ... abnormalities (hypo- or hypertension ... CM5 continuous ECG ... Obtain a 12-lead ECG ... #Checklist #Diagnosis
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Causes: thrombus ... Signs: hypotension ... Consider thrombolysis e.g ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
system including valves ... cause hypotension ... : o Cardiac ischaemia ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
of more of the signs ... Give adrenaline bolus ... alternate vasopressor (e.g ... as patient is stable ... Intraoperative #Checklist
Causes of Secondary Hypertension - Workup and Differential Diagnosis Approach (when evaluation should be done): 1. Severe or
with previously stable ... values. 3. ... and signs of end-organ ... renal bruit or signs ... parenchymal disease: CKD
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
alternatively a reflex to hypotension ... system including valves ... obtain 12-lead ECG ... ); circulatory embolus ... Intraoperative #Checklist
High Central Neuraxial Block - Guidelines for Crises in Anaesthesia • Can occur with deliberate or accidental
Consider other causes ... that may mimic signs ... • Embolism. ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
system including valves ... blood gas, 12-lead ECG ... o Circulatory embolism ... o Cardiac ischaemia ... Intraoperative #Checklist
Emergency Evacuation - Guidelines for Crises in Anaesthesia Anaesthetised or sedated patient requires unplanned transfer because
environmental hazard (e.g ... Consider if patient can ... Transfer on operating table ... • Intermittent bolus ... Intraoperative #Checklist
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