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checklist management diagnosis intraoperative workup differential cardiac cardiacarrest cyanosis embolism evacuation hyperthermia hypotension hypoxia increased patient perioperative pressure tachycardia tamponade
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... (e.g. haloperidol ... #Anesthesiology ... #Anesthesia #Checklist
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
and positioning (e.g ... give i.v fluid bolus ... ischaemia → 3-12 o Anaphylaxis ... (eg steroid dependency ... #Differential #Anesthesiology
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
blood gas, 12-lead ECG ... Bronchospasm → 3-4 o Anaphylaxis ... o Circulatory embolus ... #Differential #Anesthesiology ... #Anesthesia #Intraoperative
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Causes: thrombus ... Signs: hypotension ... Consider thrombolysis e.g ... over 2 h (>65 kg ... #Anesthesiology
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
of more of the signs ... • Maintain the airway ... alternate vasopressor (e.g ... as patient is stable ... Anesthesiology #
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
Guidelines for Crises ... obtain 12-lead ECG ... ); circulatory embolus ... amniotic (→ 3-5); anaphylaxis ... #Tachycardia #Anesthesiology
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
The probable cause ... • Check ECG rhythm ... 10) Acidosis Anaphylaxis ... (→ 3-1) Embolism ... #Differential #Anesthesiology
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
, e.g. central line ... • Maintain the airway ... pericardiocentesis kit (eg ... examination and vital signs ... #Anesthesia #Intraoperative
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
blood gas, 12-lead ECG ... Bronchospasm → 3-4 o Anaphylaxis ... o Circulatory embolism ... Hypoxia #Cyanosis #Anesthesiology ... Management #Workup #anesthesia
Emergency Evacuation - Guidelines for Crises in Anaesthesia Anaesthetised or sedated patient requires unplanned transfer because
environmental hazard (e.g ... Transfer on operating table ... attendance. ❺ Airway ... • Intermittent bolus ... Patient #Evacuation #Anesthesiology
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