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diagnosis checklist workup intraoperative differential algorithm anaphylaxis arrest cardiacarrest cardiology cico clinical cooling criticalcare cyanosis difficult embolism embolus foamed hyperthermia
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
maintained fever CAUSES ... Intracranial blood • Hypoxic ... #Anesthesiology ... #Anesthesia #Checklist ... #Diagnosis #Management
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 ... #Ischaemia #Anesthesiology ... Checklist #Diagnosis #Management
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia This is the last resort when
optimal airway management ... airway expertise e.g ... trolley and then cardiac ... Intubation #Difficult #Anesthesiology ... #Anesthesia #Intraoperative
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
consider: o Cardiac ... Anaphylaxis → 3-1 o Cardiac ... Sepsis → 3-14 o Cardiac ... #Differential #Anesthesiology ... Checklist #Diagnosis #Management
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... Plan definitive management ... #Anesthesiology ... #Anesthesia #Intraoperative ... Checklist #Diagnosis #Management
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Causes: thrombus ... , tachycardia, hypoxemia ... unexplained loss of cardiac ... Embolism #VTE #Anesthesiology ... #Anesthesia #Intraoperative
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
• Check ECG rhythm ... 4 H’s, 4 T’s: Hypoxia ... #Differential #Anesthesiology ... #Anesthesia #Intraoperative ... Checklist #Diagnosis #Management
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
blood gas, 12-lead ECG ... embolism → 3-5 o Cardiac ... ) → 3-12 o Cardiac ... #Anesthesiology ... Diagnosis #Workup #Management
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexpected cardiac ... alternate vasopressor (e.g ... #Anaphylaxis #Anesthesiology ... #Anesthesia #Intraoperative ... Checklist #Diagnosis #Management
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
likely underlying cause ... devices could have caused ... Consider monitoring cardiac ... #Sepsis #Anesthesiology ... #Anesthesia #Intraoperative
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