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checklist intraoperative management diagnosis workup cardiac anaphylaxis cardiacarrest cico crisis differential difficult evacuation hyperthermia intubate intubation ischaemia ischemia malignant neuroprotection
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 ... and then cardiac arrest ... Intubation #Difficult #Anesthesiology ... #Anesthesia #Intraoperative
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia Outcome from cardiac arrest is determined by
Obtain 12-lead ECG ... • Start cooling ... #Cooling #Neuroprotection ... #Anesthesiology ... #Anesthesia #Intraoperative
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
Call for cardiac arrest ... CM5 continuous ECG ... Obtain a 12-lead ECG ... Ischemia #Ischaemia #Anesthesiology ... #Anesthesia #Intraoperative
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
or iatrogenic causes ... , e.g. central line ... Call for cardiac arrest ... Cardiac #Tamponade #Anesthesiology ... #Anesthesia #Intraoperative
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
Unexpected cardiac arrest ... Call for cardiac arrest ... mmHg or cardiac arrest ... alternate vasopressor (e.g ... #Anaphylaxis #Anesthesiology
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
Cardiac Arrest - ... Declare “cardiac arrest ... Call for cardiac arrest ... • Check ECG rhythm ... #Differential #Anesthesiology
Malignant Hyperthermia Crisis - Guidelines for Crises in Anaesthesia Unexplained increase in ETCO2 AND tachycardia AND increased
other, more common causes ... dantrolene and cardiac arrest ... ❾ Begin active cooling ... • Cooling jackets ... Hyperthermia #Crisis #Anesthesiology
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
pulse or impending arrest ... obtain 12-lead ECG ... : central line/wire ... #Tachycardia #Anesthesiology ... #Anesthesia #Intraoperative
Emergency Evacuation - Guidelines for Crises in Anaesthesia Anaesthetised or sedated patient requires unplanned transfer because
Guidelines for Crises ... environmental hazard (e.g ... Consider calling ... Guidelines for crises ... Patient #Evacuation #Anesthesiology
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