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diagnosis anesthesia anesthesiology intraoperative workup classification criticalcare overview airway anaesthetic block encephalopathy high increased local neuraxial neurology posterior pres pressure
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
Intraoperative Anaphylaxis ... arrest where other causes ... arrest, start CPR ... Intraoperative #Checklist ... #Diagnosis #Management
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Neuro: altered mental ... • Reactionary: anaphylaxis ... Classification #diagnosis #management ... #criticalcare #differential ... #causes #classification
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Neuro: altered mental ... • Reactionary: anaphylaxis ... Classification #diagnosis #management ... #criticalcare #differential ... #causes #classification
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
Hypotension ... ischaemia → 3-12 o Anaphylaxis ... #Differential # ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
Severe sepsis (hypotension ... likely underlying cause ... ) or septic shock ... steps. ❽ Insert central ... Intraoperative #Checklist
High Central Neuraxial Block - Guidelines for Crises in Anaesthesia • Can occur with deliberate or accidental
High Central Neuraxial ... • CPR may be ... Consider other causes ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
complex AND not hypotensive ... Also consider: central ... amniotic (→ 3-5); anaphylaxis ... Intraoperative #Checklist ... #Diagnosis #Management
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia Signs of severe toxicity: • Sudden alteration in
Guidelines for Crises ... Start continuous CPR ... therapies to treat hypotension ... Intraoperative #Checklist ... #Diagnosis #Management
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
lead ECG, chest X-ray ... Bronchospasm → 3-4 o Anaphylaxis ... Airway #Pressure #Differential ... Intraoperative #Checklist ... #Diagnosis #Management
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
Infection/Sepsis/Shock ... Reversible course Differential ... the underlying cause ... with AEDs until cause ... Syndrome #diagnosis #management
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