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diagnosis management anesthesiology checklist intraoperative workup differential clinical algorithm bradycardia complex echocardiogram effusion pericardial pocus tachycardia tamponade a4c anaphylaxis arrest
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
for Crises in Anaesthesia ... and positioning (e.g ... consider: o Cardiac ... (eg steroid dependency ... Anesthesiology #Anesthesia
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... the patient is hypotensive ... consultation with cardiology
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexpected cardiac ... arrest where other causes ... surgery. ❷ Call for cardiac ... pressure < 50 mmHg or cardiac ... alternate vasopressor (e.g
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
alternatively a reflex to hypotension ... complex AND not hypotensive ... obtain 12-lead ECG ... hypovolaemia; primary cardiac ... Anesthesiology #Anesthesia
Cardiac Stress Testing Exercise: • Everyone who can exercise should! • They must be able to raise
Cardiac Stress Testing ... production to cause ... Bradycardia & hypotension ... arrythmias Diagnostics: EKG ... Stress #Testing #cardiology
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Causes: thrombus ... Signs: hypotension ... unexplained loss of cardiac ... Consider thrombolysis e.g ... Anesthesiology #Anesthesia
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
Cardiac Arrest - ... ACTION • Declare “cardiac ... • Call for cardiac ... using reservoir bag ... • Check ECG rhythm
Intrapartum Abnormal Fetal HR Tracing - Causes of Bradycardia and Tachycardia - Differential Diagnosis Algorithm Maternal Bradycardia:
Fetal HR Tracing - Causes ... Bradycardia: • Hypotension ... congenital heart block (e.g ... Vagal stimulation (e.g ... #Obstetrics #OBGyn
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
bradycardia OR severe hypotension ... Consider known drug causes ... (eg. remifentanil ... Anesthesiology #Anesthesia ... Management #Workup #Cardiology
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
Severe sepsis (hypotension ... likely underlying cause ... Consider monitoring cardiac ... cultures if possible (eg ... Anesthesiology #Anesthesia
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