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anesthesia anesthesiology workup intraoperative differential neurology syndrome treatment cardiology cardiac infectiousdiseases criticalcare gravis hyperthermia myasthenia rheumatology airway anaphylaxis arrest aspergillus
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
Guidelines for Crises ... Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... Guidelines for crises ... #Diagnosis #Management
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
Guidelines for Crises ... CM5 continuous ECG ... Obtain a 12-lead ECG ... Guidelines for crises ... #Diagnosis #Management
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
Guidelines for Crises ... , e.g. central line ... pericardiocentesis kit (eg ... Guidelines for crises ... #Diagnosis #Management
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
Guidelines for Crises ... cultures if possible (eg ... Guidelines for crises ... Intraoperative #Checklist ... #Diagnosis #Management
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Libman Sacks) • Atrial ... Hypercoagulable (APLAS ... Septic Emboli Cause ... ↑ ESR, CRP • EKG ... #diagnosis #management
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
Guidelines for Crises ... and positioning (e.g ... (eg steroid dependency ... Guidelines for crises ... #Diagnosis #Management
Malignant Hyperthermia Crisis - Guidelines for Crises in Anaesthesia Unexplained increase in ETCO2 AND tachycardia AND increased
Guidelines for Crises ... INVESTIGATIONS Arterial ... Guidelines for crises ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Guidelines for Crises ... in Anaesthesia Causes ... Consider thrombolysis e.g ... Guidelines for crises ... #Diagnosis #Management
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
Guidelines for Crises ... blood gas, 12-lead ECG ... Guidelines for crises ... Intraoperative #Checklist ... #Diagnosis #Management
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