31 results
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia

Severe sepsis (hypotension persisting after initial fluid challenge of
of 30ml.kg-1 or blood ... likely underlying cause ... record hourly urine ... surgical site, urine ... Intraoperative #Checklist #Diagnosis
Kussmaul's Sign on Physical Exam

What’s the diagnosis?
Severe biventeicular failure with + Kussmaul sign! NICM. No constriction!

-
What’s the diagnosis ... accept increased blood ... and other rarer causes ... Kussmauls #Sign #physicalexam ... #neck #jugular
Intraoperative Massive Blood Loss - Guidelines for Crises in Anaesthesia
Expected or unexpected major haemorrhage

❶ Call for
Guidelines for Crises ... interventional radiology ... Guidelines for crises ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis
Malignant Hyperthermia Crisis - Guidelines for Crises in Anaesthesia
Unexplained increase in ETCO2 AND tachycardia AND increased
other, more common causes ... axillae and anterior neck ... ⓫ Send urgent blood ... save/cross-match blood ... Intraoperative #Checklist #Diagnosis
Lancisi’s Sign in Severe Tricuspid Regurgitation

A 60-year-old man presented with progressive dyspnea and weight gain. A
Examination of the neck ... It is caused by ... blood flowing backwards ... Regurgitation #PhysicalExam ... #Jugular #JVP #Cardiology
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
Guidelines for Crises ... invasive arterial blood ... consultation with cardiology ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis
Intraoperative  Bradycardia - Guidelines for Crises in Anaesthesia
Bradycardia in theatre should not be treated as
pulse, rhythm and blood ... perfusion, recheck blood ... Consider known drug causes ... Intraoperative #Checklist #Diagnosis ... Management #Workup #Cardiology
Lower Extremity Dermatomes and Myotomes
Reflexes: 
 • Knee - L2, L3, L4
 • Ankle - S1
saddle (perineal) anesthesia ... Commonly caused ... nerve at fibular neck ... Dermatomes #Myotomes #diagnosis ... sensory #motor #leg #physicalexam
Lancisi’s Sign in Severe Tricuspid Regurgitation

A large venous wave, or Giant V wave, is visible in
It is caused by ... blood flowing backwards ... Regurgitation #PhysicalExam ... Clinical #Video #Neck ... #Jugular #Cardiology
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
is inadequate blood ... effect of neuraxial anesthesia ... , Medications (anesthesia ... PO Intake by Nick ... Undifferentiated #Shock #diagnosis