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diagnosis management workup anesthesiology checklist intraoperative differential airway cardiacarrest cardiology cost criticalcare cyanosis effectiveness evaluation hypotension hypoxia increased perioperative preop
Syncope Diagnostic Testing and Evaluation: Cost Effectiveness Frequency obtained - Abnormal findings - Helped determine etiology of
Syncope Diagnostic Testing ... syncope Tests: ECG ... stress test - ... Effectiveness #table ... #comparison
Cardiac Stress Testing Exercise: • Everyone who can exercise should! • They must be able to raise
Cardiac Stress Testing ... • They must be able ... 85% of predicted value ... production to cause ... #Stress #Testing
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 ... Sepsis → 3-14 o Cardiac
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 ... Anesthesiology #Anesthesia
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
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 ... 10) Acidosis Anaphylaxis
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
Using these steps ... system including valves ... blood gas, 12-lead ECG ... Bronchospasm → 3-4 o Anaphylaxis ... Anesthesiology #Anesthesia
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 ... amniotic (→ 3-5); anaphylaxis
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
Using these steps ... system including valves ... blood gas, 12-lead ECG ... Bronchospasm → 3-4 o Anaphylaxis ... Management #Workup #anesthesia
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
complications from anesthesia ... exam Determine Cardiac ... Testing: • Preoperative ... postoperative cardiac ... testing may inform
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