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diagnosis management anesthesiology intraoperative workup differential cardiacarrest cico cyanosis difficult evacuation evaluation hypotension hypoxia intubate intubation lung patient perioperative preop
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
and positioning (e.g ... consider: o Cardiac ... (eg steroid dependency ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
• If i.v. access ... • Check ECG rhythm ... CardiacArrest #Checklist ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... , e.g. central line ... pericardiocentesis kit (eg ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia This is the last resort when
Guidelines for Crises ... airway expertise e.g ... trolley and then cardiac ... Front of Neck Access ... Intraoperative #Checklist
Lung Abscess - Diagnosis and Management Summary Lung Abscess Etiology: • Necrosis of lung parenchyma by a
• Most common cause ... Pathophysiology ... degrees • Chills, night ... • Vasculitis (e.g ... #differential #causes
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
Guidelines for Crises ... obtain 12-lead ECG ... hypovolaemia; primary cardiac ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
likely underlying cause ... central and arterial access ... Consider monitoring cardiac ... cultures if possible (eg ... Intraoperative #Checklist
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
• Check heart rate ... blood gas, 12-lead ECG ... embolism → 3-5 o Cardiac ... ) → 3-12 o Cardiac ... Intraoperative #Checklist
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
complications from anesthesia ... Assess functional ... exam Determine Cardiac ... indicated • EKG ... Obtain EKG if:
Emergency Evacuation - Guidelines for Crises in Anaesthesia Anaesthetised or sedated patient requires unplanned transfer because
Guidelines for Crises ... environmental hazard (e.g ... security of i.v access ... make infusion later ... Intraoperative #Checklist
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