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management anesthesia anesthesiology workup differential cardiology endocarditis anaphylaxis arrest capnography cardiacarrest cico cooling cyanosis difficult embolus hypotension hypoxia increased infectiousdiseases
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Intraoperative Circulatory ... unexplained loss of cardiac ... Consider thrombolysis e.g ... Anesthesiology #Anesthesia #Intraoperative ... #Checklist #Diagnosis
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
Intraoperative Cardiac ... CM5 continuous ECG ... Consider invasive arterial ... Anesthesiology #Anesthesia #Intraoperative ... #Checklist #Diagnosis
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
dental procedure • Cardiac ... Libman Sacks) • Atrial ... Hypercoagulable (APLAS ... : • New cardiac ... ↑ ESR, CRP • EKG
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
Intraoperative Tachycardia ... obtain 12-lead ECG ... hypovolaemia; primary cardiac ... ); circulatory embolus ... #Checklist #Diagnosis
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
• Check ECG rhythm ... Anaphylaxis (→ 3-1) Embolism ... CardiacArrest #Checklist ... Anesthesiology #Anesthesia #Intraoperative ... #Checklist #Diagnosis
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia This is the last resort when
Check optimal airway ... expertise e.g. ... trolley and then cardiac ... Anesthesiology #Anesthesia #Intraoperative ... #Checklist #Diagnosis
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
help AND check arterial ... blood gas, 12-lead ECG ... o Circulatory embolus ... Anesthesiology #Anesthesia #Intraoperative ... #Checklist #Diagnosis
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
consider: o Cardiac ... Anaphylaxis → 3-1 o Cardiac ... Sepsis → 3-14 o Cardiac ... Anesthesiology #Anesthesia #Intraoperative ... #Checklist #Diagnosis
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
Intraoperative Sepsis ... Consider monitoring cardiac ... cultures if possible (eg ... Anesthesiology #Anesthesia #Intraoperative ... #Checklist #Diagnosis
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
Intraoperative Hypoxia ... blood gas, 12-lead ECG ... o Circulatory embolism ... → 3-5 o Cardiac ... #Checklist #Diagnosis
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