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management workup anesthesia intraoperative differential cardiac cardiology infectiousdiseases airway anaphylaxis arrest aspergillus bcnie bloodculture bradycardia cardiacarrest cico cooling criticalcare cyanosis
Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
Endocarditis checklist ... if suspected (e.g ... block (+/- daily EKG ... of infection (e.g ... #diagnosis #management
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
39 C this is a clinical ... Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... malignant syndrome (e.g ... #Anesthesiology
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
, e.g. central line ... pericardiocentesis kit (eg ... • Diagnostic ... Cardiac #Tamponade #Anesthesiology ... Intraoperative #Checklist
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
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
and positioning (e.g ... (eg steroid dependency ... #Differential #Anesthesiology ... Intraoperative #Checklist ... #Diagnosis #Management
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Hypercoagulable (APLAS ... Septic Emboli Cause ... Diagnosis? ... ↑ ESR, CRP • EKG ... Treat underlying cause
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
in Anaesthesia Causes ... Consider thrombolysis e.g ... Embolism #VTE #Anesthesiology ... Intraoperative #Checklist ... #Diagnosis #Management
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
Consider potential causes ... blood gas, 12-lead ECG ... #Differential #Anesthesiology ... Intraoperative #Checklist ... #Diagnosis #Management
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
• Check ECG rhythm ... CardiacArrest #Checklist ... #Differential #Anesthesiology ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
likely underlying cause ... cultures if possible (eg ... anaesthesia #Sepsis #Anesthesiology ... Intraoperative #Checklist ... #Diagnosis #Management
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