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anesthesiology checklist diagnosis workup algorithm anaphylaxis cardiology cico differential difficult embolism embolus evacuation evaluation hypotension intubate intubation narrowcomplex patient perioperative
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Converts - Probably AVnRT ... Control rate (e.g ... Treat underlying cause ... Control rate (e.g ... #management #cardiology
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
Intraoperative Tachycardia ... obtain 12-lead ECG ... Anesthesiology #Anesthesia ... #Intraoperative ... Checklist #Diagnosis #Management
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Intraoperative Circulatory ... Causes: thrombus ... : hypotension, tachycardia ... Consider thrombolysis e.g ... Anesthesiology #Anesthesia
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
and positioning (e.g ... non-sinus → 2-7 Tachycardia ... (eg steroid dependency ... Anesthesiology #Anesthesia ... #Intraoperative
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia This is the last resort when
Guidelines for Crises ... optimal airway management ... airway expertise e.g ... #Intraoperative ... Checklist #Diagnosis #Management
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
Intraoperative Anaphylaxis ... • Unexplained tachycardia ... alternate vasopressor (e.g ... #Intraoperative ... Checklist #Diagnosis #Management
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
complications from anesthesia ... event, follow ACC ... indicated • EKG ... Obtain EKG if: ... indication of AC
Emergency Evacuation - Guidelines for Crises in Anaesthesia Anaesthetised or sedated patient requires unplanned transfer because
environmental hazard (e.g ... Transfer on operating table ... Anesthesiology #Anesthesia ... #Intraoperative ... #Checklist #Management
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