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diagnosis management anesthesiology intraoperative workup differential anaphylaxis cardiacarrest crisis criticalcare cyanosis embolism embolus hyperkalemia hyperthermia hypotension hypoxia k malignant nephrology
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
system including valves ... non-sinus → 2-7 Tachycardia ... consider: o Cardiac ... Sepsis → 3-14 o Cardiac ... Intraoperative #Checklist
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
Guidelines for Crises ... system including valves ... obtain 12-lead ECG ... hypovolaemia; primary cardiac ... Intraoperative #Checklist
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexplained tachycardia ... • Unexpected cardiac ... alternate vasopressor (e.g ... as patient is stable ... Intraoperative #Checklist
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
Cardiac Arrest - ... breathing system valves ... • Check ECG rhythm ... CardiacArrest #Checklist ... Intraoperative #Checklist
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Causes: thrombus ... : hypotension, tachycardia ... unexplained loss of cardiac ... Consider thrombolysis e.g ... Intraoperative #Checklist
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
dehydration due to renal ... Vascular → PE, PAH ... findings based on cause ... Differential #Diagnosis #table ... #comparison #criticalcare
Malignant Hyperthermia Crisis - Guidelines for Crises in Anaesthesia Unexplained increase in ETCO2 AND tachycardia AND increased
increase in ETCO2 AND tachycardia ... other, more common causes ... dantrolene and cardiac ... ); may require renal ... Intraoperative #Checklist
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
system including valves ... blood gas, 12-lead ECG ... ) → 3-12 o Cardiac ... Intraoperative #Checklist ... Management #Workup #anesthesia
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
heparinized tube) • ECG ... only if no clear cause ... Elimination (see Table ... line, stabilizes cardiac ... Monitor for tachycardia
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