15 results
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Support Algorithm in COVID19 ... low flow oxygen (e.g ... us believe that intubation ... #management #schema ... #criticalcare #hypoxia
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
• Excessive insulation ... Intracranial blood • Hypoxic ... Differential #Causes #Anesthesiology ... #Anesthesia #Checklist ... #Diagnosis #Management
COVID-19 Intubation Checklist

Personal protective equipment (PPE)
 • Standard PPE
   • N95 or PAPR.
COVID-19 Intubation ... Checklist Personal ... PPE (use ethanol hand ... #Intubation #Checklist ... #SARSCoV2 #Management
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia
This is the last resort when
optimal airway management ... airway expertise e.g ... CICO #Intubate #Intubation ... #Difficult #Anesthesiology ... Intraoperative #Checklist
Intraoperative Bronchospasm - Guidelines for Crises in Anaesthesia

❶ Call for help and inform theatre team of
or oesophageal intubation ... consider → 2-2 Hypoxia ... anaesthesia #Anesthesiology ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
CM5 continuous ECG ... consultation with cardiology ... Ischemia #Ischaemia #Anesthesiology ... Intraoperative #Checklist ... #Diagnosis #Management
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... Checklist Evaluation ... Consider BiPAP (vS intubation ... #HeartFailure #Cardiology ... #Management
Cardiac Arrest - Guidelines for Crises in Anaesthesia

The probable cause is one or more of: something
presume oesophageal intubation ... • Check ECG rhythm ... 4 H’s, 4 T’s: Hypoxia ... #Differential #Anesthesiology ... #Diagnosis #Management
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
, tachycardia, hypoxemia ... Consider thrombolysis e.g ... Embolism #VTE #Anesthesiology ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia
Using these steps from start
blood gas, 12-lead ECG ... exclude bronchial intubation ... #Cyanosis #Anesthesiology ... Intraoperative #Checklist ... Diagnosis #Workup #Management