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diagnosis checklist anesthesiology intraoperative differential treatment algorithm cardiac clinical criticalcare hypertension hyperthermia perioperative thromboembolism vte abcds abcs admissions admitting adrenal
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
CM5 continuous ECG ... rapidly complete the surgery ... consultation with cardiology ... Checklist #Diagnosis #Management ... #Workup
Mains Electricity Failure - Guidelines for Crises in Anaesthesia Unexpected total power failure is rare and unpredictable.
supply, duration of surgery ... Consider stopping surgery ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management ... #Workup
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 ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management ... #Workup
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Consider thrombolysis e.g ... consult vascular surgeon ... N2O • Tell surgeon ... Anesthesiology #Anesthesia ... #Workup
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia This is the last resort when
optimal airway management ... airway expertise e.g ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management ... #Workup
Intraoperative Bronchospasm - Guidelines for Crises in Anaesthesia ❶ Call for help and inform theatre team of
for Crises in Anaesthesia ... oxygen. ❸ Stop surgery ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management ... #Workup
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 ... Hypercoagulable #Workup
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
cardiothoracic surgery ... indicated, start CPR ... Plan definitive management ... 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 ... Discuss ongoing management ... Checklist #Diagnosis #Management ... #Workup
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
• Consider surgery ... blood gas, 12-lead ECG ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management ... #Workup
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