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management anesthesiology checklist differential intraoperative workup criticalcare acidosis cardiacarrest classification cyanosis elevation hypotension hypoxia inotropes lactate lactic pharmacology prs pulmonary
Common Vasopressors and Inotropes Norepinephrine (NE) - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
is not desired (e.g ... is not desired (e.g ... Bradyarrhythmias, Some cases ... #Inotropes #comparison ... #table #pharmacology
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
the autonomic effects ... system including valves ... ischaemia → 3-12 ... o Anaphylaxis ... Intraoperative #Checklist #Diagnosis
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
Intraoperative Anaphylaxis ... • Unexpected cardiac ... alternate vasopressor (e.g ... as patient is stable ... Intraoperative #Checklist #Diagnosis
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
- Differential Diagnosis ... Vascular → PE, PAH ... findings based on cause ... Sepsis. neurogenic, anaphylaxis ... #table #comparison
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
breathing system valves ... • Check ECG rhythm ... 10) Acidosis Anaphylaxis ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
system including valves ... obtain 12-lead ECG ... hypovolaemia; primary cardiac ... amniotic (→ 3-5); anaphylaxis ... Anesthesiology #Anesthesia
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
system including valves ... blood gas, 12-lead ECG ... Bronchospasm → 3-4 o Anaphylaxis ... ischaemia (or infarction ... Management #Workup #anesthesia
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
nose deformity • Cardiac ... EGPA) • Digital ischemia ... (UPC) ratio • Cardiac ... recent DAN) • EMG ... Goodpasture's cause
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
- Differential Diagnosis ... to bolus these values ... perfusion - Cardiac ... failure - Low cardiac ... Neoplasia/Warburg effect
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