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management anesthesiology intraoperative workup covid19 criticalcare differential sarscov2 anaesthetic block cardiacarrest central cico cyanosis difficult evaluation extubation fire high hypoxia
COVID-19 patient Extubation Objective: Extubation of a suspected COVID-19 patient whilst minimising aersolisation of virus particles. Orly
List) 4) Clear airway ... Oropharyngeal airway ... facemask • Hudson mask ... #Checklist #Supplies ... CriticalCare #SARSCoV2 #Coronavirus
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia This is the last resort when
Check optimal airway ... CICO #Intubate #Intubation ... Anesthesiology #Anesthesia ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Bronchospasm - Guidelines for Crises in Anaesthesia ❶ Call for help and inform theatre team of
if possible – airway ... or oesophageal intubation ... Consider alternate diagnoses ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Laryngospasm and Stridor - Guidelines for Crises in Anaesthesia ❶ Call for help and inform theatre
oxygen and face mask ... over-vigorous attempts at lung ... Consider tracheal intubation ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Patient Fire - Guidelines for Crises in Anaesthesia Evidence of fire (smoke, heat, odour, flash, flame)
for Crises in Anaesthesia ... • Consider intubation ... Anesthesiology #Anesthesia ... Intraoperative #Checklist ... #Diagnosis #Management
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
for Crises in Anaesthesia ... oedema; bronchial intubation ... Anesthesiology #Anesthesia ... Intraoperative #Checklist ... #Diagnosis #Management
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
• Confirm airway ... presume oesophageal intubation ... CardiacArrest #Checklist ... Intraoperative #Checklist ... #Diagnosis #Management
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia Signs of severe toxicity: • Sudden alteration in
ensure adequate lung ... • Maintain the airway ... Anesthesiology #Anesthesia ... Intraoperative #Checklist ... #Diagnosis #Management
COVID-19 Intubation Checklist Personal protective equipment (PPE) • Standard PPE • N95 or PAPR.
COVID-19 Intubation ... Checklist Personal ... using BVM: Hold mask ... #Checklist #SARSCoV2 ... #CriticalCare #Coronavirus
High Central Neuraxial Block - Guidelines for Crises in Anaesthesia • Can occur with deliberate or accidental
problem. ❸ Treat airway ... Consider supraglottic airway ... or tracheal intubation ... Intraoperative #Checklist ... #Diagnosis #Management
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