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diagnosis management anesthesiology intraoperative workup differential ischemia anaphylaxis cad cardiacarrest cyanosis embolism embolus hematology hypotension leukostasis lysis mi myocardialinfarction syndrome
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
for Crises in Anaesthesia ... abnormalities (hypo- or hypertension ... is conscious, symptoms ... #Cardiac #Ischemia ... #Checklist #Diagnosis
Myocardial infarction: Classified into 5 types based on etiology and circumstances: Type 1: Spontaneous MI caused by ischemia
Spontaneous MI caused ... , hypertension), ... sudden unexpected cardiac ... infarction with cTn values ... infarction with cTn values
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
for Crises in Anaesthesia ... system including valves ... ischaemia → 3-12 ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexpected cardiac ... arrest where other causes ... alternate vasopressor (e.g ... as patient is stable ... Intraoperative #Checklist
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
breathing system valves ... • Check ECG rhythm ... 4 H’s, 4 T’s: Hypoxia ... CardiacArrest #Checklist ... Intraoperative #Checklist
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Signs: hypotension ... , tachycardia, hypoxemia ... decreased ETCO2 Symptoms ... unexplained loss of cardiac ... Intraoperative #Checklist
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
system including valves ... blood gas, 12-lead ECG ... ischaemia (or infarction ... Intraoperative #Checklist ... Management #Workup #anesthesia
Leukostasis vs Tumor Lysis Syndrome Leukostasis: • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
high WBC count cause ... coma - Pulm: Hypoxia ... AKI, acute limb ischemia ... priapism • Lab values ... unless worrisome EKG
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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