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Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
Intraoperative Cardiac ... trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... #Intraoperative
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
maintained fever CAUSES ... Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... malignant syndrome (e.g ... Phaeochromocytoma Neurologic
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
, e.g. central line ... pericardiocentesis kit (eg ... • Identify tip ... Anesthesiology #Anesthesia ... #Intraoperative
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
and positioning (e.g ... o Endocrine cause ... (eg steroid dependency ... Anesthesiology #Anesthesia ... #Intraoperative
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Intraoperative Circulatory ... Causes: thrombus ... Consider thrombolysis e.g ... over 2 h (>65 kg ... #Intraoperative
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
Intraoperative Anaphylaxis ... alternate vasopressor (e.g ... as patient is stable ... Anesthesiology #Anesthesia ... #Intraoperative
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
Intraoperative Sepsis ... likely underlying cause ... cultures if possible (eg ... Anesthesiology #Anesthesia ... #Intraoperative
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia Focal Hyporeflexia: • Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Reflex Testing - Causes ... Deep coma (any cause ... polyneuropathy (e.g ... differential #diagnosis #table ... #neurology
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
should identify any cause ... surgery related cause ... blood gas, 12-lead ECG ... Anesthesiology #Anesthesia ... #Intraoperative
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 ... Guidelines for crises ... Anesthesiology #Anesthesia ... #Intraoperative
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