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management workup anesthesiology checklist intraoperative differential cardiology hypertension testing anaphylaxis bradycardia cardiac challenges fluid indications inotropes pharmacology responsiveness secondary sepsis
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
for Crises in Anaesthesia ... system including valves ... Consider giving vasopressor ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
give alternate vasopressor ... (e.g. metaraminol ... as patient is stable ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis
Intraoperative Hypertension - Guidelines for Crises in Anaesthesia Hypertension is most commonly due to inappropriate depth of
Hypertension is ... system including valves ... alfentanil can be diagnostic ... Distended bladder • Vasopressor ... syndrome) • Medical causes
Common Vasopressors and Inotropes Norepinephrine (NE) - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
Common Vasopressors ... Bradyarrhythmias, Some cases ... #Inotropes #comparison ... #table #pharmacology ... #criticalcare
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
Severe sepsis (hypotension ... likely underlying cause ... aid fluid and vasopressor ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
complex AND not hypotensive ... system including valves ... obtain 12-lead ECG ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis
Causes of Secondary Hypertension - Workup and Differential Diagnosis Approach (when evaluation should be done): 1. Severe or
Causes of Secondary ... and Differential Diagnosis ... with previously stable ... values. 3. ... #Differential #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 ... Bradycardia & hypotension ... : EKG ($), ECHO
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
bradycardia OR severe hypotension ... system including valves ... Consider known drug causes ... (eg. remifentanil ... 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 ... #table #comparison ... #criticalcare
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