13 results
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
, tachycardia, hypoxemia ... unexplained loss of cardiac ... consult vascular surgeon ... N2O • Tell surgeon ... #Anesthesiology
Pulmonary Embolism Treatment
Systemic Thrombolysis
 - Exclude contraindications.
 - Indications:
   - Massive PE (definite indication)
Pulmonary Embolism ... Treatment Systemic ... or who require surgery ... #Embolism #Treatment ... #AcutePE #Management
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
Intraoperative Cardiac ... pre-existing history or risk ... rapidly complete the surgery ... #Ischaemia #Anesthesiology ... Checklist #Diagnosis #Management
Cardiac Arrest - Guidelines for Crises in Anaesthesia

The probable cause is one or more of: something
4 H’s, 4 T’s: Hypoxia ... Anaphylaxis (→ 3-1) Embolism ... #Differential #Anesthesiology ... #Anesthesia #Intraoperative ... Checklist #Diagnosis #Management
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
complications from anesthesia ... murmur 3/6) - Pulmonary ... exam Determine Cardiac ... postoperative cardiac ... medical and surgical management
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia
Using these steps from start
delivery • Pause surgery ... o Circulatory embolism ... o Aspiration, pulmonary ... #Anesthesiology ... Diagnosis #Workup #Management
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
delivery • Pause surgery ... analgesia (consider risk ... consider: o Cardiac ... #Differential #Anesthesiology ... Checklist #Diagnosis #Management
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... cardiothoracic surgery ... thoracotomy is a better treatment ... Plan definitive management ... #Anesthesiology
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia
Tachycardia in theatre is often due to inadequate depth
remember to tailor treatment ... hypovolaemia; primary cardiac ... ); circulatory embolus ... #Tachycardia #Anesthesiology ... Checklist #Diagnosis #Management
Malignant Hyperthermia Crisis - Guidelines for Crises in Anaesthesia
Unexplained increase in ETCO2 AND tachycardia AND increased
Temperature rise ... abandon or finish surgery ... dantrolene and cardiac ... #Anesthesia #Intraoperative ... Checklist #Diagnosis #Management