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diagnosis management anesthesiology checklist intraoperative workup differential cardiology acidosis anaphylaxis bradycardia cardiacarrest classification complexes criticalcare cyanosis elevation hematology hypotension hypoxia
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
system including valves ... consider: o Cardiac ... ischaemia → 3-12 ... Anaphylaxis → 3-1 o Cardiac ... Sepsis → 3-14 o Cardiac
Leukostasis vs Tumor Lysis Syndrome Leukostasis: • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
high WBC count cause ... AKI, acute limb ischemia ... priapism • Lab values ... hydration - Hyperkalemia ... unless worrisome EKG
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
Cardiac Arrest - ... • Call for cardiac ... breathing system valves ... • Check ECG rhythm ... Hypovolaemia Hypo/hyperkalaemia
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexpected cardiac ... trolley, anaphylaxis treatment ... require prolonged treatment ... alternate vasopressor (e.g ... as patient is stable
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
/crush injury, ischemia ... heparinized tube) • ECG ... only if no clear cause ... Elimination (see Table ... line, stabilizes cardiac
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
remember to tailor treatment ... system including valves ... obtain 12-lead ECG ... hypovolaemia; primary cardiac ... Anesthesiology #Anesthesia
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
remember to tailor treatment ... system including valves ... Consider known drug causes ... (eg. remifentanil ... myocardial infarction, hyperkalaemia
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
manifestation of cardiac ... • Myocardial ischemia ... Hypomagnesemia • Hypokalemia ... • Underlying ischemic ... more intensive treatment
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
to bolus these values ... perfusion - shock->treatments ... before beginning treatment ... perfusion - Cardiac ... failure - Low cardiac
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