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diagnosis management anesthesiology intraoperative workup anaphylaxis cardiology differential embolism embolus hypotension ischaemia ischemia manifestations organsystems signs stress tachycardia testing thromboembolism
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
abnormalities (hypo- or hypertension ... , tachy- or bradycardia ... is conscious, symptoms ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
tachycardia or bradycardia ... alternate vasopressor (e.g ... as patient is stable ... trigger agents (allergy ... 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 ... consider: o Cardiac ... Sepsis → 3-14 o Cardiac ... Intraoperative #Checklist
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.
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Causes: thrombus ... Signs: hypotension ... decreased ETCO2 Symptoms ... unexplained loss of cardiac ... Intraoperative #Checklist
Manifestations of Anaphylaxis by Body System Dermatologic/mucosal - Eyes: periorbital swelling/erythema, injected conjunctiva, tears - Oral mucosa:
capillary refill, hypotension ... - Late: bradycardia ... leads, cyanosis, cardiac ... play #Diagnosis #Allergy ... #Signs #Symptoms
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 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 ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
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