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management anesthesia anesthesiology intraoperative cardiac hematology thromboembolism vte admissions admitting airway algorithm anaphylaxis arrest arthritis cancer carcinoma cardiomyopathy cell cooling
Approach to the Hypercoagulable State Arterial thromboembolism → Cardiac rhythm monitoring, Echocardiogram, Vascular imaging → Test for APS, particularly
• Provoked (e.g ... . surgery, trauma ... - No other workup ... CBC, aPTT, +/- CXR ... #hematology #diagnosis
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
rapidly complete the surgery ... consultation with cardiology ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
cultures if possible (eg ... abandon or limit surgery ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Admitting in the ICU - Checklist VITALS: If bad, stop and go see the patient immediately; you
Admitting in the ICU - Checklist ... will also get an EKG ... and CXR ... #ICU #Pearls #Checklist ... #diagnosis #workup
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
consult vascular surgeon ... patient in left lateral ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
cardiothoracic surgery ... indicated, start CPR ... • Diagnostic ... Intraoperative #Checklist ... #Workup
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
help AND check arterial ... blood gas, 12-lead ECG ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
Obtain EKG if: ... Change in clinical ... one post op Cardiology ... CARP, DECREASE V trials ... stratification #diagnosis
Malignant Hyperthermia Crisis - Guidelines for Crises in Anaesthesia Unexplained increase in ETCO2 AND tachycardia AND increased
abandon or finish surgery ... replacement therapy later ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
The location of the cardiac valves is best determined on the lateral radiograph. A line is drawn
determined on the lateral ... On this lateral ... enlargement of the left atrium ... #Clinical #Diagnosis ... #Radiology #CXR
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