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diagnosis anesthesiology checklist intraoperative workup cardiology differential pharmacology treatment criticalcare vasopressors algorithm anaphylaxis arrest cardiacarrest cardiomyopathy chf clinical cooling cyanosis
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
Cardiac Stress Testing Exercise: • Everyone who can exercise should! • They must be able to raise
85% of predicted value ... production to cause ... Contraindications: - Bradycardia ... and asthma • Inotropes ... Testing #cardiology #management
Common Vasopressors and Inotropes Norepinephrine (NE) - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
Vasopressors and Inotropes ... effects: Reflex bradycardia ... Bradyarrhythmias, Some cases ... #Vasopressors #Inotropes ... #comparison #table
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
hypertension, tachy- or bradycardia ... trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... 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 ... Anaphylaxis → 3-1 o Cardiac ... Sepsis → 3-14 o Cardiac ... Checklist #Diagnosis #Management
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... • Inotropic ... Plan definitive management ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #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
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
tachycardia or bradycardia ... • Unexpected cardiac ... alternate vasopressor (e.g ... as patient is stable ... Checklist #Diagnosis #Management
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 ... Checklist #Diagnosis #Management
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia Outcome from cardiac arrest is determined by
Consider vasopressor/inotrope ... Obtain 12-lead ECG ... ❾ Plan further management ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management
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