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diagnosis anesthesia anesthesiology management intraoperative differential cardiac cardiacarrest elevation gammopathy hyperthermia lactate lactic mgrs monoclonal perioperative renal significance tachycardia tamponade
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Treatment depends ... Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... Allergic reaction / anaphylaxis ... malignant syndrome (e.g
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
treatment pack ... require prolonged treatment ... alternate vasopressor (e.g ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
, e.g. central line ... pericardiocentesis kit (eg ... thoracotomy is a better treatment ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
by excretion (e.g ... its metabolism (e.g ... perfusion - shock->treatments ... before beginning treatment ... #typea #typeb #classification
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
• Check ECG rhythm ... toxicity (→ 3-10) Acidosis ... Anaphylaxis (→ ... CardiacArrest #Checklist ... Diagnosis #Management #Workup
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
remember to tailor treatment ... obtain 12-lead ECG ... amniotic (→ 3-5); anaphylaxis ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Monoclonal Gammopathy of Renal Significance (MGRS) MGRS • MGRS refers to kidney disease caused by nephrotoxic monoclonal immunoglobulins
Diagnostic Workup ... guide subtype classification ... : organized (e.g ... non-organized (e.g ... microangiopathy Treatment
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