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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 ... rapidly complete the surgery ... Anesthesiology #Anesthesia
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
cardiothoracic surgery ... , e.g. central line ... pericardiocentesis kit (eg ... Anesthesiology #Anesthesia ... #Intraoperative
Mains Electricity Failure - Guidelines for Crises in Anaesthesia Unexpected total power failure is rare and unpredictable.
Guidelines for Crises ... supply, duration of surgery ... Consider stopping surgery ... until patient is stable ... #Intraoperative
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Intraoperative Circulatory ... Consider thrombolysis e.g ... consult vascular surgeon ... Anesthesiology #Anesthesia ... #Intraoperative
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
surgery if possible ... and positioning (e.g ... (eg steroid dependency ... Anesthesiology #Anesthesia ... #Intraoperative
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
surgery if possible ... • Consider surgery ... blood gas, 12-lead ECG ... If laparoscopic surgery ... #Intraoperative
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
Intraoperative Anaphylaxis ... non-essential surgery ... alternate vasopressor (e.g ... 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 ... abandon or limit surgery ... #Intraoperative
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
something related to surgery ... the reason for surgery ... • Check ECG rhythm ... Anesthesiology #Anesthesia ... #Intraoperative
Intraoperative Laryngospasm and Stridor - Guidelines for Crises in Anaesthesia ❶ Call for help and inform theatre
Intraoperative Laryngospasm ... Guidelines for Crises ... obstructing the airway, e.g ... Consider other causes ... #Intraoperative
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