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diagnosis management anesthesiology intraoperative workup differential ischemia anaphylaxis bradycardia cad cardiacarrest cardiomyopathy cyanosis embolism hypotension hypoxia ischaemia mi myocardialinfarction peripartum
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
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
abnormalities (hypo- or hypertension ... is conscious, symptoms ... CM5 continuous ECG ... consultation with cardiology ... 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 ... consider: o Cardiac ... Intraoperative #Checklist
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexpected cardiac ... alternate vasopressor (e.g ... as patient is stable ... 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 ... , arrhythmia, hypotension ... sudden unexpected cardiac
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 ... Anesthesiology #Anesthesia
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
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 ... Bradycardia & hypotension ... Stress #Testing #cardiology
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
bradycardia OR severe hypotension ... system including valves ... (eg. remifentanil ... Intraoperative #Checklist ... Management #Workup #Cardiology
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 ... Intraoperative #Checklist ... Management #Workup #anesthesia
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