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anesthesia anesthesiology workup intraoperative differential cardiology algorithm criticalcare treatment airway clinical comparison echocardiogram hematology hepatology hyperthermia product reactions renal syndrome
Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
Endocarditis checklist ... • Peripheral blood ... • Aggressive management ... #checklist #criticalcare ... #diagnosis #management
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Microbiology: Blood ... Septic Emboli Cause ... Diagnosis? ... • Blood cultures ... #diagnosis #management
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... accumulation of blood ... Plan definitive management ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
likely underlying cause ... Consider monitoring cardiac ... Discuss ongoing management ... Intraoperative #Checklist ... #Diagnosis #Management
Dilated Abdominal Veins and Caput Medusae - Direction of Blood Flow Vein Milking technique can be used
determine the cause ... & upper thorax distend ... abdominal veins also distend ... #Flow #physicalexam ... #diagnosis #hepatology
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
perfusion, recheck blood ... consider: o Cardiac ... Sepsis → 3-14 o Cardiac ... Intraoperative #Checklist ... #Diagnosis #Management
My Patient with Infective Endocarditis (IE) Has Negative Blood Cultures - Did they receive antibiotics prior
with Infective Endocarditis ... ) Has Negative Blood ... therapy - Number one cause ... BloodCultures #Diagnosis ... #Management #Algorithm
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexpected cardiac ... ❻ If systolic blood ... -10 ml clotted blood ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
Intraoperative Cardiac ... Guidelines for Crises ... invasive arterial blood ... Intraoperative #Checklist ... #Diagnosis #Management
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
Cardiac Arrest - ... 3-5) Massive blood ... CardiacArrest #Checklist ... Intraoperative #Checklist ... #Diagnosis #Management
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