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diagnosis management anesthesiology checklist intraoperative differential perioperative cardiac cardiacarrest cardiology chf criticalcare cyanosis evaluation foamed heartfailure hyperthermia hypotension icu increased
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
39 C this is a clinical ... Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... Allergic reaction / anaphylaxis ... malignant syndrome (e.g
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
and positioning (e.g ... ischaemia → 3-12 o Anaphylaxis ... (eg steroid dependency ... Anesthesiology #Anesthesia ... Diagnosis #Management #Workup
Intraoperative Bronchospasm - Guidelines for Crises in Anaesthesia ❶ Call for help and inform theatre team of
intubation. ❼ If anaphylaxis ... Other drugs at clinician ... consider → 2-2 Hypoxia ... X-ray as soon as clinically ... Diagnosis #Management #Workup
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
in Anaesthesia ... blood gas, 12-lead ECG ... Bronchospasm → 3-4 o Anaphylaxis ... Anesthesiology #Anesthesia ... Diagnosis #Management #Workup
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
blood gas, 12-lead ECG ... Bronchospasm → 3-4 o Anaphylaxis ... Checklist #Diagnosis #Workup ... #Management #Workup ... #anesthesia
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
underlying medical condition ... • Check ECG rhythm ... 4 H’s, 4 T’s: Hypoxia ... 10) Acidosis Anaphylaxis ... Diagnosis #Management #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Maintain the airway ... alternate vasopressor (e.g ... as patient is stable ... Anesthesiology #Anesthesia ... Diagnosis #Management #Workup
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
Guidelines for Crises ... obtain 12-lead ECG ... amniotic (→ 3-5); anaphylaxis ... Anesthesiology #Anesthesia ... Diagnosis #Management #Workup
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
, e.g. central line ... • Maintain the airway ... pericardiocentesis kit (eg ... Anesthesiology #Anesthesia ... Diagnosis #Management #Workup
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
complications from anesthesia ... event, follow ACC algorithm ... indicated • EKG ... Obtain EKG if: ... Change in clinical
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