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anesthesiology diagnosis intraoperative management workup differential cardiacarrest cico cyanosis evacuation evaluation hypotension hypoxia increased intubate intubation patient perioperative preop preoperative
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia This is the last resort when
Guidelines for Crises ... expertise e.g. ... Guidelines for crises ... Intubate #Intubation #Difficult ... Intraoperative #Checklist
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
and positioning (e.g ... ischaemia → 3-12 o Anaphylaxis ... (eg steroid dependency ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
blood gas, 12-lead ECG ... POTENTIAL CAUSES ... Bronchospasm → 3-4 o Anaphylaxis ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
Guidelines for Crises ... obtain 12-lead ECG ... : central line/wire ... amniotic (→ 3-5); anaphylaxis ... Intraoperative #Checklist
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
• Check ECG rhythm ... 10) Acidosis Anaphylaxis ... CardiacArrest #Checklist ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
Intraoperative Anaphylaxis ... • Maintain the airway ... alternate vasopressor (e.g ... as patient is stable ... Intraoperative #Checklist
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
should identify any cause ... blood gas, 12-lead ECG ... Bronchospasm → 3-4 o Anaphylaxis ... Intraoperative #Checklist ... Management #Workup #anesthesia
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
complications from anesthesia ... any mention of a difficult ... airway - Allergies ... - Oral cavity/Airway ... Obtain EKG if:
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 ... intubation to improve airway ... Intraoperative #Checklist
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