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management anesthesia checklist intraoperative differential airway algorithm anaphylaxis cardiacarrest cico cyanosis difficult embolism hyperkalemia hypotension hypoxia increased intubate intubation ischaemia
Chest Pain - Diagnosis and Workup Algorithm History and Exam Acute life-threatening causes: • Acute myocardial infarction •
Chest Pain - Diagnosis ... life-threatening causes ... • Pulmonary embolism ... • Cardiac tamponade ... : • EKG • Bedside
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
in Anaesthesia Causes ... unexplained loss of cardiac ... Consider thrombolysis e.g ... #Anesthesiology ... #Management #Workup
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
symptoms may include chest ... trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... #Management #Workup
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
Breathing • Check chest ... and positioning (e.g ... (eg steroid dependency ... #Differential #Anesthesiology ... #Management #Workup
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 ... #Tamponade #Anesthesiology ... #Management #Workup
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
• Check ECG rhythm ... Anaphylaxis (→ 3-1) Embolism ... #Differential #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
alternate vasopressor (e.g ... as patient is stable ... #Anaphylaxis #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
blood gas, 12-lead ECG ... o Circulatory embolus ... #Differential #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
Breathing • Check chest ... obtain 12-lead ECG ... hypovolaemia; primary cardiac ... ); circulatory embolus ... #Management #Workup
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia This is the last resort when
airway expertise e.g ... trolley and then cardiac ... Intubation #Difficult #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
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