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diagnosis anesthesiology checklist intraoperative cardiac differential perioperative arrest bradycardia cardiacarrest cooling embolism embolus evaluation hyperthermia ischaemia ischemia neuroprotection preop preoperative
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
maintained fever CAUSES ... Intracranial blood • Hypoxic ... #Differential #Causes ... Checklist #Diagnosis #Management ... #Workup
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
Desaturation / Cyanosis ... blood gas, 12-lead ECG ... #Hypoxia #Cyanosis ... Checklist #Diagnosis #Workup ... #Management #Workup
Intraoperative Bronchospasm - Guidelines for Crises in Anaesthesia ❶ Call for help and inform theatre team of
consider → 2-2 Hypoxia ... /desaturation/cyanosis ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management ... #Workup
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
CM5 continuous ECG ... Obtain a 12-lead ECG ... consultation with cardiology ... Checklist #Diagnosis #Management ... #Workup
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Causes: thrombus ... , tachycardia, hypoxemia ... Consider thrombolysis e.g ... Anesthesiology #Anesthesia ... #Workup
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
• Check ECG rhythm ... POTENTIAL CAUSES ... 4 H’s, 4 T’s: Hypoxia ... Checklist #Diagnosis #Management ... #Workup
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
Consider known drug causes ... (eg. remifentanil ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management ... #Workup #Cardiology
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia Outcome from cardiac arrest is determined by
Obtain 12-lead ECG ... and discuss with cardiology ... ❾ Plan further management ... Anesthesiology #Anesthesia ... #Workup
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
complications from anesthesia ... determine if stress test ... one post op Cardiology ... Unstable Angina ... medical and surgical management
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