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management anesthesia diagnosis intraoperative workup differential criticalcare coronavirus hypoxia sarscov2 airway bradycardia cardiacarrest cardiology causes cico cyanosis difficult evacuation failure
COVID-19 Patient Intubation Checklist and Supplies Intubation Equipment List • Appropriately sized tracheal tube with subglottic suction
COVID-19 Patient ... Intubation Checklist ... Emergency drugs e.g ... and equipment e.g ... #Intubation #Checklist
Proposed Respiratory Support Algorithm in COVID19 The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Respiratory Support Algorithm ... in COVID19 The ... low flow oxygen (e.g ... us believe that intubation ... hypoxia #failure #algorithm
COVID-19 Intubation Checklist Personal protective equipment (PPE) • Standard PPE • N95 or PAPR.
COVID-19 Intubation ... Checklist Personal ... dose paralytic (e.g ... don't actively bag ... #Intubation #Checklist
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... malignant syndrome (e.g ... Differential #Causes #Anesthesiology ... #Anesthesia #Checklist
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia This is the last resort when
airway expertise e.g ... CICO #Intubate #Intubation ... #Difficult #Anesthesiology ... Intraoperative #Checklist
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
confirm reservoir bag ... blood gas, 12-lead ECG ... oedema; bronchial intubation ... #Differential #Anesthesiology ... Intraoperative #Checklist
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
presume oesophageal intubation ... using reservoir bag ... • Check ECG rhythm ... CardiacArrest #Checklist ... #Differential #Anesthesiology
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
using reservoir bag ... and positioning (e.g ... Endocrine cause (eg ... #Differential #Anesthesiology ... Intraoperative #Checklist
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
confirm reservoir bag ... using reservoir bag ... obtain 12-lead ECG ... #Tachycardia #Anesthesiology ... Intraoperative #Checklist
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
confirm reservoir bag ... using reservoir bag ... known drug causes (eg ... #Bradycardia #Anesthesiology ... Intraoperative #Checklist
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