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management checklist workup intraoperative differential hyperthermia anaesthetic anaphylaxis cardiacarrest classification crisis cyanosis elevation hyperkalemia hypoxia k lactate lactic local nephrology
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Treatment depends ... • Neuroleptic malignant ... #Differential #Causes ... #Anesthesiology ... #Diagnosis #Management
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... thoracotomy is a better treatment ... • Prep and drape ... #Anesthesiology ... #Anesthesia #Intraoperative
Malignant Hyperthermia Crisis - Guidelines for Crises in Anaesthesia Unexplained increase in ETCO2 AND tachycardia AND increased
Malignant Hyperthermia ... dantrolene and cardiac ... metoprolol Metabolic acidosis ... #Crisis #Anesthesiology ... #Checklist #Diagnosis
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexpected cardiac ... trolley, anaphylaxis treatment ... require prolonged treatment ... #Anaphylaxis #Anesthesiology ... #Checklist #Diagnosis
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
Cardiac Arrest - ... • Call for cardiac ... toxicity (→ 3-10) Acidosis ... #Differential #Anesthesiology ... #Checklist #Diagnosis
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia Signs of severe toxicity: • Sudden alteration in
problem. ❸ Call for cardiac ... may help reduce acidosis ... Anaesthetic #Toxicity #Anesthesiology ... #Anesthesia #Intraoperative ... #Checklist #Diagnosis
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
remember to tailor treatment ... hypovolaemia; primary cardiac ... anaphylaxis (→ 3-1); malignant ... #Tachycardia #Anesthesiology ... #Checklist #Diagnosis
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
perfusion - shock->treatments ... drugs, seizures, malignancy ... before beginning treatment ... perfusion - Cardiac ... failure - Low cardiac
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Hyperkalemia - Diagnosis ... Antibiotics (Bactrim, PCN ... tourniquet / IVF line draw ... only if no clear cause ... line, stabilizes cardiac
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
embolism → 3-5 o Cardiac ... ) → 3-12 o Cardiac ... Sepsis → 3-14 o Malignant ... Hypoxia #Cyanosis #Anesthesiology ... Intraoperative #Checklist #Diagnosis
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