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diagnosis anesthesiology checklist intraoperative workup differential cardiology criticalcare inotropes pharmacology vasopressors airway cardiacarrest cyanosis effect hyperkalemia hypotension hypoxia increased ischaemia
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 ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
hypertension, tachy- or bradycardia ... CM5 continuous ECG ... Obtain a 12-lead ECG ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management
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 o Anaphylaxis ... → 3-1 o Cardiac ... Checklist #Diagnosis #Management
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 ... Testing #cardiology #management
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
Guidelines for Crises ... system including valves ... Consider known drug causes ... (eg. remifentanil ... Checklist #Diagnosis #Management
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 ... Checklist #Diagnosis #Management
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
Vascular → PE, PAH ... findings based on cause ... Sepsis. neurogenic, anaphylaxis ... Differential #Diagnosis #table ... #comparison #criticalcare
Vasopressors Table Rough properties by Target Receptor, Heart Rate/Inotropy, Systemic Vascular Resistance, Cardiac Output, Blood Pressure,
Vasopressors Table ... Vascular Resistance, Cardiac ... Resistance, Main Uses ... Pharmacology #Effect #Management ... #Comparison #Inotropes
Common Vasopressors and Inotropes Norepinephrine (NE) - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
is not desired (e.g ... effects: Reflex bradycardia ... Bradyarrhythmias, Some cases ... Vasopressors #Inotropes #comparison ... #table #pharmacology
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
system including valves ... blood gas, 12-lead ECG ... Bronchospasm → 3-4 o Anaphylaxis ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management
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