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management anesthesiology intraoperative workup differential acidosis anaphylaxis arrest cardiacarrest cardiology classification cooling cyanosis elevation embolism embolus hypotension lactate lactic neuroprotection
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
breathing system valves ... • Check ECG rhythm ... 4 H’s, 4 T’s: Hypoxia ... Anesthesiology #Anesthesia ... #Diagnosis #Management
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
system including valves ... consider: o Cardiac ... Sepsis → 3-14 o Cardiac ... Intraoperative #Checklist ... #Diagnosis #Management
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... • Call for cardiac ... • Diagnostic ... • Inotropic ... Intraoperative #Checklist
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 ... and asthma • Inotropes ... : EKG ($), ECHO
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 ... #Diagnosis #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
alternate vasopressor (e.g ... as patient is stable ... Anesthesiology #Anesthesia ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
, tachycardia, hypoxemia ... unexplained loss of cardiac ... Anesthesiology #Anesthesia ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
system including valves ... obtain 12-lead ECG ... hypovolaemia; primary cardiac ... Intraoperative #Checklist ... #Diagnosis #Management
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia Outcome from cardiac arrest is determined by
Guidelines for Crises ... Consider vasopressor/inotrope ... Obtain 12-lead ECG ... Intraoperative #Checklist ... #Diagnosis #Management
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
- Differential Diagnosis ... to bolus these values ... vasopressors, or inotropes ... perfusion - Cardiac ... failure - Low cardiac
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