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diagnosis management checklist intraoperative cardiacarrest acls adult aha2020 clinical complex differential echocardiogram effusion lifesupport pericardial pocus thromboembolism vte a4c anaphylaxis
Chest Pain - Diagnosis and Workup Algorithm History and Exam Acute life-threatening causes: • Acute myocardial infarction •
life-threatening causes ... Pulmonary embolism • Cardiac ... tamponade • Esophageal ... : • EKG • Bedside ... ultrasound • CXR
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... , e.g. central line ... pericardiocentesis kit (eg ... #Cardiac #Tamponade ... #Anesthesiology
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... consultation with cardiology ... #Ischaemia #Anesthesiology
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
and positioning (e.g ... tamponade → 3-9 ... (eg steroid dependency ... #Differential #Anesthesiology ... Diagnosis #Management #Workup
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
• Check ECG rhythm ... Hypothermia Tamponade ... #Differential #Anesthesiology ... #Anesthesia #Intraoperative ... Diagnosis #Management #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexpected cardiac ... arrest, start CPR ... alternate vasopressor (e.g ... #Anaphylaxis #Anesthesiology ... Diagnosis #Management #Workup
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Causes: thrombus ... unexplained loss of cardiac ... Consider thrombolysis e.g ... Embolism #VTE #Anesthesiology ... Diagnosis #Management #Workup
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia This is the last resort when
Guidelines for Crises ... airway expertise e.g ... trolley and then cardiac ... Intubation #Difficult #Anesthesiology ... Diagnosis #Management #Workup
Approach to the Hypercoagulable State Arterial thromboembolism → Cardiac rhythm monitoring, Echocardiogram, Vascular imaging → Test for APS, particularly
thromboembolism → Cardiac ... Vascular imaging → Test ... • Provoked (e.g ... CBC, aPTT, +/- CXR ... hematology #diagnosis #algorithm
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
likely underlying cause ... Consider monitoring cardiac ... cultures if possible (eg ... #Sepsis #Anesthesiology ... Diagnosis #Management #Workup
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