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anesthesia anesthesiology workup intraoperative differential cardiology hypoxia abcds abcs anaphylaxis arrest basicplan basics cardiacarrest cico cooling crisis cyanosis difficult dyspnea
Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
Endocarditis checklist ... Persistent fever, positive ... • Aggressive management ... #checklist #criticalcare ... #diagnosis #management
Hypoxemia and Dyspnea - Rapid Response Management 1) Ask for vitals en route 2) Stabilize: Nasal canula 3)
1) Ask for vitals ... Examination: Pulmonary, Cardiac ... , Neuro 4) Diagnose ... the underlying cause ... #criticalcare #
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
tamponade recurs. ❿ Plan ... definitive management ... specialist referral. ⓫ Plan ... Intraoperative #Checklist ... #Diagnosis #Management
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Blood cultures are positive ... : • New cardiac ... Injury By: • Early ... Diagnosis? ... #diagnosis #management
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexpected cardiac ... • Plan for repeat ... feasible (Box B). ⓭ Plan ... Intraoperative #Checklist ... #Diagnosis #Management
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
Airway • Check position ... consider: o Cardiac ... Sepsis → 3-14 o Cardiac ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
Consider monitoring cardiac ... Discuss ongoing management ... plan with intensive ... Intraoperative #Checklist ... #Diagnosis #Management
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
Cardiac Arrest - ... Airway • Check position ... CardiacArrest #Checklist ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
in Anaesthesia Causes ... unexplained loss of cardiac ... in left lateral position ... Intraoperative #Checklist ... #Diagnosis #Management
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
and Differential Diagnosis ... Blood cultures are positive ... Culture Positive ... Septic emboli cause ... injury by: • Early
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