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checklist diagnosis management workup intraoperative differential airway cardiacarrest cyanosis embolism hyperthermia hypotension increased perioperative pressure thromboembolism vte
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
: hypotension, tachycardia ... , hypoxemia, decreased ... Consider thrombolysis e.g ... #Anesthesiology ... #Anesthesia #Intraoperative
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
maintained fever CAUSES ... Allergic reaction / anaphylaxis ... Intracranial blood • Hypoxic ... #Differential #Causes ... #Anesthesiology
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
obtain 12-lead ECG ... ); circulatory embolus ... amniotic (→ 3-5); anaphylaxis ... Anesthesiology # ... Anesthesia #Intraoperative
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
Intraoperative Anaphylaxis ... • Unexplained tachycardia ... alternate vasopressor (e.g ... #Anaphylaxis # ... Anesthesiology #
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
and positioning (e.g ... give i.v fluid bolus ... non-sinus → 2-7 Tachycardia ... ischaemia → 3-12 o Anaphylaxis ... #Differential #Anesthesiology
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 ... 10) Acidosis Anaphylaxis ... (→ 3-1) Embolism ... #Differential #Anesthesiology
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
blood gas, 12-lead ECG ... Bronchospasm → 3-4 o Anaphylaxis ... o Circulatory embolus ... #Differential #Anesthesiology ... #Anesthesia #Intraoperative
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
Intraoperative Hypoxia ... blood gas, 12-lead ECG ... Bronchospasm → 3-4 o Anaphylaxis ... o Circulatory embolism ... #Anesthesiology
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