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checklist diagnosis management intraoperative workup differential cardiac airway cardiacarrest cardiology cyanosis electrocardiogram embolism evacuation hyperthermia hypotension hypoxia increased ischaemia ischemia
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 ... hyperthermia crisis (late sign ... #Anesthesiology
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 ... #Anesthesiology ... #Anesthesia #Intraoperative
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
is unconscious, signs ... trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... Ischemia #Ischaemia #Anesthesiology
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
of more of the signs ... alternate vasopressor (e.g ... as patient is stable ... Anesthesiology # ... Anesthesia #Intraoperative
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
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
, e.g. central line ... pericardiocentesis kit (eg ... measures: • Fluid bolus ... examination and vital signs ... Cardiac #Tamponade #Anesthesiology
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... STE: "Pardee's sign ... complex Pulmonary Embolism ... diagnosis #cardiology #ecg ... #ekg #electrocardiogram
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
obtain 12-lead ECG ... ); circulatory embolus ... amniotic (→ 3-5); anaphylaxis ... #Tachycardia #Anesthesiology ... #Anesthesia #Intraoperative
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
• Check ECG rhythm ... 10) Acidosis Anaphylaxis ... (→ 3-1) Embolism ... #Differential #Anesthesiology ... #Anesthesia #Intraoperative
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