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diagnosis management anesthesia anesthesiology checklist workup differential cardiology pulmonary algorithm cardiac clinical lung pharmacology renal tachycardia abortive abscess acidosis airway
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
Intraoperative Anaphylaxis ... trolley, anaphylaxis treatment ... require prolonged treatment ... alternate vasopressor (e.g ... as patient is stable
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
hypovolaemia or combined causes ... system including valves ... and positioning (e.g ... (eg steroid dependency ... Anesthesiology #Anesthesia #Intraoperative
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Treatment of Stable ... Control rate (e.g ... Treat underlying cause ... Treat underlying cause ... #Tachycardia #Treatment
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
in Anaesthesia Caused ... , e.g. central line ... pericardiocentesis kit (eg ... thoracotomy is a better treatment ... Anesthesiology #Anesthesia #Intraoperative
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
should identify any cause ... surgery related cause ... system including valves ... blood gas, 12-lead ECG ... Anesthesiology #Anesthesia #Intraoperative
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
Intraoperative ... remember to tailor treatment ... system including valves ... Consider known drug causes ... (eg. remifentanil
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
Intraoperative Tachycardia ... remember to tailor treatment ... system including valves ... obtain 12-lead ECG ... Anesthesiology #Anesthesia #Intraoperative
Leukostasis vs Tumor Lysis Syndrome Leukostasis: • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
high WBC count cause ... priapism • Lab values ... organ damage • Treatment ... sudden death • Lab values ... unless worrisome EKG
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 ... arrythmias Diagnostics: EKG
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
The probable cause ... and treat the cause ... breathing system valves ... • Check ECG rhythm ... Anesthesiology #Anesthesia #Intraoperative
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