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management diagnosis anesthesia anesthesiology workup perioperative differential preop anaesthetic anaphylaxis beforect bigtrauma cad cardiacarrest cardiology continue crisis cyanosis embolism embolus
Perioperative Medications - Which Medications to Hold or Continue? Aspirin - Continue • Aspirin should be continued
should be initiated preoperatively ... to reduce cardiac ... tachycardia and hypertension ... prolonged postop hypotension ... poorly controlled hypertension
Perioperative IBD Pharmacotherapy Management Immunomodulators: • Stop MTX one week prior to elective surgery • Stop
Perioperative IBD ... prednisone) & intraoperative ... stress dose Gastroenterology ... medication #Management #preoperative ... #gastroenterology
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
Preoperative Risk ... exam Determine Cardiac ... event, follow ACC algorithm ... postoperative cardiac ... trials) • BUT, preoperative
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
Intraoperative Cardiac ... abnormalities (hypo- or hypertension ... rapidly complete the surgery ... the patient is hypotensive ... #Checklist #Diagnosis
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
Intraoperative Anaphylaxis ... • Unexpected cardiac ... non-essential surgery ... Anesthesiology #Anesthesia #Intraoperative ... #Checklist #Diagnosis
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Intraoperative Circulatory ... Signs: hypotension ... unexplained loss of cardiac ... consult vascular surgeon ... #Checklist #Diagnosis
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
delivery • Pause surgery ... consider: o Cardiac ... Sepsis → 3-14 o Cardiac ... Anesthesiology #Anesthesia #Intraoperative ... #Checklist #Diagnosis
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
Intraoperative Sepsis ... Severe sepsis (hypotension ... Consider monitoring cardiac ... abandon or limit surgery ... #Checklist #Diagnosis
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
Intraoperative Tachycardia ... alternatively a reflex to hypotension ... complex AND not hypotensive ... hypovolaemia; primary cardiac ... #Checklist #Diagnosis
Intraoperative Hypertension - Guidelines for Crises in Anaesthesia Hypertension is most commonly due to inappropriate depth of
Intraoperative Hypertension ... in Anaesthesia Hypertension ... administered by surgeon ... Anesthesiology #Anesthesia #Intraoperative ... #Checklist #Diagnosis
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