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diagnosis management anesthesia intraoperative differential thromboembolism anaphylaxis arrest bradycardia cardiacarrest cardiology cico cooling cyanosis difficult embolism embolus hematology hypercoagulable hypotension
Approach to the Hypercoagulable State Arterial thromboembolism → Cardiac rhythm monitoring, Echocardiogram, Vascular imaging → Test for APS, particularly
thromboembolism → Cardiac ... • Provoked (e.g ... - No other workup ... Hypercoagulable #Workup ... hematology #diagnosis #algorithm
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
unexplained loss of cardiac ... Consider thrombolysis e.g ... Embolus #Embolism #VTE ... #Anesthesiology ... Intraoperative #Checklist
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm Drugs that prolong QT interval: • Class 1a (quinidine,
Recurrent Polymorphic VT ... Pointes - Management Algorithm ... Hypomagnesemia • Hypokalemia ... 1 gm/hour • Pediatric ... /min • Pediatric
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
and positioning (e.g ... Endocrine cause (eg ... #Differential #Anesthesiology ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
• Check ECG rhythm ... Hypovolaemia Hypo/hyperkalaemia ... CardiacArrest #Checklist ... #Differential #Anesthesiology ... Diagnosis #Management #Workup
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
iatrogenic causes, e.g ... pericardiocentesis kit (eg ... #Tamponade #Anesthesiology ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia This is the last resort when
airway expertise e.g ... trolley and then cardiac ... Intubation #Difficult #Anesthesiology ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
Consider monitoring cardiac ... cultures if possible (eg ... anaesthesia #Sepsis #Anesthesiology ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia Outcome from cardiac arrest is determined by
Outcome from cardiac ... Obtain 12-lead ECG ... #Arrest #Anesthesiology ... Intraoperative #Checklist ... Diagnosis #Management #Workup
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