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diagnosis management anesthesia anesthesiology perioperative workup endocrinology hyperthermia intraoperative adrenal allergy beforect bigtrauma cardiology crisis echocardiogram emergency evaluation fatigue highglucose
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
Preoperative Risk ... event, follow ACC algorithm ... Change in clinical ... patients #Preop #preoperative ... #stratification
Algorithm for Suspected Penicillin Allergy in Patients Undergoing Surgery • Cephalosporins may be prescribed to patients
Patients Undergoing Surgery ... physicians use the clinical ... a 1 in 100,000 risk ... #Algorithm #Perioperative ... #Preoperative #
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm Autoimmune: • Isolated • Polyglandular autoimmune syndrome 1 •
Causes of Adrenal ... Diagnosis Algorithm ... Thrombophilia • Critical ... Hemochromatosis Other: • Surgery ... #Causes
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
39 C this is a clinical ... maintained fever CAUSES ... anaesthesia #Perioperative ... #Hyperthermia #Differential ... #Anesthesia #Checklist
Hyperglycemia - Differential Diagnosis Algorithm Diabetes Mellitus: • Impaired Glucose Tolerance • Type I Diabetes • Type
Hyperglycemia - Differential ... Diagnosis Algorithm ... agonists • Others Critical ... Trauma, Surgery, ... endocrinology #causes
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
surgery if possible ... analgesia (consider risk ... team. ❼ Consider causes ... #Hypotension #Differential ... Intraoperative #Checklist
Fatigue and IBD Algorithm • 40-50% patients have fatigue despite clinical remission • Risk factors: BMI,
Fatigue and IBD Algorithm ... fatigue despite clinical ... remission • Risk ... Receptor (sTfR) to differentiate ... /other causes •
Hypoglycemia - Differential Diagnosis Algorithm Fasting Hypoglycemia: • Excess Insulin • Medications (e.g. Insulin Secretagogues, ß-Adrenergic Antagonists,
Hypoglycemia - Differential ... Diagnosis Algorithm ... setting of Gastric Surgery ... Idiopathic Other Causes ... : • Critical Illness
Malignant Hyperthermia Crisis - Guidelines for Crises in Anaesthesia Unexplained increase in ETCO2 AND tachycardia AND increased
Temperature rise ... other, more common causes ... abandon or finish surgery ... Plan admission to critical ... Intraoperative #Checklist
Efforts to standardize the approach to trauma have led to an algorithmic, thoughtless approach to trauma
have led to an algorithmic ... prioritized as the critical ... witnessed many cases ... and the primary survey ... BigTrauma #BeforeCT #Checklist
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