12 results
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia

Severe sepsis (hypotension persisting after initial fluid challenge of
≥ 4mmol.l-1 if infection ... within 1 h (seek microbiology ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... endocarditis w/ septic ... , splenic abscess ... #criticalcare #diagnosis ... #management
Capnocytophaga
Pathogen: Capnocytophaga
 • 9 species, C. canimorsus responsible for the majority of infections
 • Gram-negative rod,
the majority of infections ... Endocarditis, Septic ... specificity of PCR ... Capnocytophaga #canimorsus #microbiology ... #management #treatment
Intraoperative Patient Fire - Guidelines for Crises in Anaesthesia
Evidence of fire (smoke, heat, odour, flash, flame)
on patient or drapes ... avoid N2O • Assess ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Infectious: • Pre-existing ... devices (CIED) Non-Infectious ... Hypercoagulable (APLAS) Microbiology ... Glomerulonephritis Septic ... #management #cardiology
Recommended initial testing for patients being evaluated for glomerular disease 

24-hour urine collection - Quantify proteinuria.
Spot PC (protein ... present) - These infections ... glomerular #testing #workup ... #diagnosis #glomerulonephritis ... nephrotic #nephritic #nephrology
Tuberculosis Overview

10 million new M. tuberculosis infections/year
Facultative intracellular rod-shaped bacteria
Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
Lung cancer • Septic ... emboli • Lung abscess ... Tuberculosis Diagnosis ... staining, NAA (PCR ... #Management #Treatment
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia
Signs of severe toxicity:
 • Sudden alteration in
after an initial injection ... establish intravenous access ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
Plan definitive management ... • Prep and drape ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Hyperkalemia - Diagnosis ... Antibiotics (Bactrim, PCN ... reabsorption) Workup ... tourniquet / IVF line draw ... #potassium #nephrology