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management diagnosis anesthesia intraoperative workup differential cardiology criticalcare algorithm anaphylaxis arrest cardiacarrest chf cico clinical cooling cyanosis difficult electricity embolism
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
CM5 continuous ECG ... Obtain a 12-lead ECG ... especially in heart failure ... Ischemia #Ischaemia #Anesthesiology ... Intraoperative #Checklist
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
surgery; equipment failure ... delegate task of evaluating ... • Check ECG rhythm ... CardiacArrest #Checklist ... #Differential #Anesthesiology
Mains Electricity Failure - Guidelines for Crises in Anaesthesia Unexpected total power failure is rare and unpredictable.
Mains Electricity Failure ... • If immediate evacuation ... • Consider evacuation ... #Anesthesiology ... Intraoperative #Checklist
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... , e.g. central line ... • Call for cardiac ... #Tamponade #Anesthesiology ... Intraoperative #Checklist
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 ... Intraoperative #Checklist
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... Congestive heart failure ... Cardiomegaly • Heart failure ... maneuvers: SVT-AVNRT ... bending over: AVNRT
Checklist Approach to Hypokalemia Consider risk factors for arrhythmia: - EKG changes (especially QT prolongation) - Digoxin
Checklist Approach ... pomagnesemia Evaluation ... patients (including cardiac ... - Severe renal failure ... Critical Care #Checklist
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia This is the last resort when
Guidelines for Crises ... airway expertise e.g ... trolley and then cardiac ... Intubation #Difficult #Anesthesiology ... Intraoperative #Checklist
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexpected cardiac ... arrest where other causes ... alternate vasopressor (e.g ... #Anaphylaxis #Anesthesiology ... Intraoperative #Checklist
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
likely underlying cause ... Consider monitoring cardiac ... cultures if possible (eg ... anaesthesia #Sepsis #Anesthesiology ... Intraoperative #Checklist
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