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anesthesiology diagnosis anesthesia intraoperative workup differential anaphylaxis bradycardia cardiac cardiology cico difficult embolism embolus hypotensive intubate intubation ischaemia ischemia sepsis
Hypotension in Anesthesiology - Differential Diagnosis and Management Initial checklist: - Verify BP (e.g. surgeon
Diagnosis and Management ... Initial checklist ... - Verify BP (e.g ... treatment: - iv wide ... Differential #Diagnosis #Management
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
Hypotension - Guidelines ... Hypotension ... and positioning (e.g ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexplained hypotension ... • If hypotension ... alternate vasopressor (e.g ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
abnormalities (hypo- or hypertension ... CM5 continuous ECG ... the patient is hypotensive ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
Severe sepsis (hypotension ... likely underlying cause ... cultures if possible (eg ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
in Anaesthesia Causes ... Signs: hypotension ... Consider thrombolysis e.g ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
complex AND not hypotensive ... obtain 12-lead ECG ... : central line/wire ... Intraoperative #Checklist ... #Diagnosis #Management
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 Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
bradycardia OR severe hypotension ... Consider known drug causes ... (eg. remifentanil ... Intraoperative #Checklist ... #Diagnosis #Management
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