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management workup anesthesiology checklist intraoperative differential cardiology airway allergy cardiac cardiacarrest criticalcare cyanosis endocarditis hyperkalemia hypertension hyperthermia hypotension hypoxia increased
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
maintained fever CAUSES ... Allergic reaction / anaphylaxis ... Phaeochromocytoma Neurologic ... #Differential #Causes ... #Checklist #Diagnosis
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 ... Intraoperative #Checklist #Diagnosis
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 ... Intraoperative #Checklist #Diagnosis
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
system including valves ... and positioning (e.g ... ischaemia → 3-12 o Anaphylaxis ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis
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 ... Intraoperative #Checklist #Diagnosis
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 ... : EKG ($), ECHO
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
The probable cause ... breathing system valves ... • Check ECG rhythm ... 10) Acidosis Anaphylaxis ... Intraoperative #Checklist #Diagnosis
Manifestations of Anaphylaxis by Body System Dermatologic/mucosal - Eyes: periorbital swelling/erythema, injected conjunctiva, tears - Oral mucosa:
Manifestations of Anaphylaxis ... hypotension - Late: bradycardia ... Gastrointestinal - Nausea ... abdominal cramps Neurologic ... cessation of play #Diagnosis
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 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 ... amniotic (→ 3-5); anaphylaxis ... Intraoperative #Checklist #Diagnosis
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
- Differential Diagnosis ... Vascular → PE, PAH ... findings based on cause ... Sepsis. neurogenic, anaphylaxis ... #table #comparison
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