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management anesthesia anesthesiology intraoperative workup pulmonary amiodarone anaesthetic block boop bradycardia cardiology central cop crisis cryptogenic cyanosis differential high hyperthermia
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia Signs of severe toxicity: • Sudden alteration in
anaesthetic (remember infusion ... ensure adequate lung ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
rate, rhythm, perfusion ... Local anaesthetic toxicity ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Cryptogenic Organizing Pneumonia (COP) Cryptogenic Organizing Pneumonia Overview: • Idiopathic form of organizing pneumonia • formerly BOOP
with CTD, drugs, malignancy ... Unknown • 6-7 cases ... Rare: pleural effusions ... other processes Workup ... strep, HIV • CTD workup
Amiodarone Induced Lung Toxicity Summary Who? • 5% of patients • Dose ≥ 400 mg per day How? Possible
Amiodarone Induced Lung ... Direct cytotoxic lung ... exudative pleural effusions ... Exclude other causes ... embolism - Malignancy
High Central Neuraxial Block - Guidelines for Crises in Anaesthesia • Can occur with deliberate or accidental
fluid by rapid infusion ... Local anaesthetic toxicity ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
local anaesthetic toxicity ... anaphylaxis (→ 3-1); malignant ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
rate, rhythm, perfusion ... local anaesthetic toxicity ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup #Cardiology
Malignant Hyperthermia Crisis - Guidelines for Crises in Anaesthesia Unexplained increase in ETCO2 AND tachycardia AND increased
Malignant Hyperthermia ... hyperventilate lungs ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
should identify any cause ... Sepsis → 3-14 o Malignant ... Intraoperative #Checklist ... #Diagnosis #Workup ... #Management #Workup
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