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management anesthesia anesthesiology workup differential endocarditis cardiology airway cardiac cardiacarrest central criticalcare cyanosis high hypotension hypoxia increased infectiousdiseases neuraxial pressure
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Embolus - Guidelines ... AMNIOTIC FLUID EMBOLISM ... Box D: AIR/GAS EMBOLISM ... #Embolism #VTE ... #Checklist #Diagnosis
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Vascular: • Systemic emboli ... Injury By: • Early embolic ... • Paradoxical emboli ... disease and tumor embolism ... Tricuspid • Marantic: Emboli
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
Vascular: • Systemic emboli ... • Cholesterol emboli ... • Paradoxical emboli ... disease and tumor embolism ... Septic emboli
Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
Endocarditis checklist ... causing heart failure ... with multiple embolic ... telemetry for heart block ... #criticalcare #diagnosis
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
the reason for surgery ... ; equipment failure ... Anaphylaxis (→ 3-1) Embolism ... Anesthesiology #Anesthesia #Intraoperative ... #Checklist #Diagnosis
High Central Neuraxial Block - Guidelines for Crises in Anaesthesia • Can occur with deliberate or accidental
Central Neuraxial Block ... • Embolism. ... Central #Neuraxial #Block ... Anesthesiology #Anesthesia #Intraoperative ... #Checklist #Diagnosis
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
cardiothoracic surgery ... • Diagnostic ... measures: • Fluid bolus ... Anesthesiology #Anesthesia #Intraoperative ... #Checklist #Diagnosis
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
delivery • Pause surgery ... • Consider surgery ... o Circulatory embolus ... Anesthesiology #Anesthesia #Intraoperative ... #Checklist #Diagnosis
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
effects of neuraxial block ... delivery • Pause surgery ... give i.v fluid bolus ... Anesthesiology #Anesthesia #Intraoperative ... #Checklist #Diagnosis
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
Intraoperative Hypoxia ... delivery • Pause surgery ... o Circulatory embolism ... Anesthesiology #Intraoperative ... #Checklist #Diagnosis
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