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checklist diagnosis management intraoperative workup differential airway bradycardia cardiacarrest cardiology criticalcare cyanosis evacuation hyperthermia hypotension hypoxia increased patient perioperative pressure
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
maintained fever CAUSES ... Allergic reaction / anaphylaxis ... #Differential #Causes ... #Anesthesiology ... #Anesthesia #Checklist
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 ... (eg steroid dependency ... #Differential #Anesthesiology
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
Intraoperative Anaphylaxis ... alternate vasopressor (e.g ... as patient is stable ... Anesthesiology # ... Anesthesia #Intraoperative
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 ... #Differential #Anesthesiology ... #Anesthesia #Intraoperative
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
breathing system valves ... • Check ECG rhythm ... 10) Acidosis Anaphylaxis ... #Differential #Anesthesiology ... #Anesthesia #Intraoperative
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 ... #Tachycardia #Anesthesiology
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 ... #Bradycardia #Anesthesiology
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
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
should identify any cause ... system including valves ... blood gas, 12-lead ECG ... Bronchospasm → 3-4 o Anaphylaxis ... Hypoxia #Cyanosis #Anesthesiology
Emergency Evacuation - Guidelines for Crises in Anaesthesia Anaesthetised or sedated patient requires unplanned transfer because
Guidelines for Crises ... environmental hazard (e.g ... Transfer on operating table ... remember mains cable ... Patient #Evacuation #Anesthesiology
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