25 results
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
Intraoperative Cardiac ... is conscious, symptoms ... CM5 continuous ECG ... Anesthesiology #Anesthesia #Intraoperative ... #Checklist #Diagnosis
Primary Adrenal Insufficiency
Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
aldosterone Causes ... Risk factors for BAH ... Serum DHEAS Diagnosis ... Administer 250 mcg ... endocrinology #diagnosis
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
system including valves ... and positioning (e.g ... (eg steroid dependency ... Anesthesiology #Anesthesia #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
Increased Airway Pressure - Guidelines for Crises in Anaesthesia

Using these steps from start to end should
should identify any cause ... system including valves ... blood gas, 12-lead ECG ... 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 ... ventricular arrythmias Diagnostics ... : EKG ($), ECHO
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
Intraoperative Circulatory ... decreased ETCO2 Symptoms ... Consider thrombolysis e.g ... Anesthesiology #Anesthesia #Intraoperative ... #Checklist #Diagnosis
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 ... #Checklist #Diagnosis
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
high WBC count cause ... priapism • Lab values ... sudden death • Lab values ... unless worrisome EKG ... Syndrome #TLS #diagnosis
Emergent Causes of Headache and Associated Risk Factors
Carbon monoxide poisoning
 - Breathing in enclosed or confined
Emergent Causes ... with the same symptoms ... - History of SAH ... redflags #signs #symptoms ... differential #emergency #diagnosis