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anesthesiology diagnosis workup intraoperative cardiac differential anaesthetic anaphylaxis bradycardia cardiacarrest cooling crisis cyanosis hypoxia ischaemia ischemia local malignant neuroprotection perioperative
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
maintained fever CAUSES ... • Neuroleptic malignant ... #Differential #Causes ... #Checklist #Diagnosis ... #Management #Workup
Malignant Hyperthermia Crisis - Guidelines for Crises in Anaesthesia Unexplained increase in ETCO2 AND tachycardia AND increased
Malignant Hyperthermia ... other, more common causes ... dantrolene and cardiac arrest ... cooling: • Reduce ... #Malignant #Hyperthermia
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
hyperkalaemia Hypothermia ... CardiacArrest #Checklist ... Anesthesiology #Anesthesia ... Intraoperative #Checklist ... #Diagnosis #Management
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia Signs of severe toxicity: • Sudden alteration in
Guidelines for Crises ... Hyperventilation may help reduce ... If circulatory arrest ... Intraoperative #Checklist ... #Diagnosis #Management
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia Outcome from cardiac arrest is determined by
blocking drugs to reduce ... and discuss with cardiology ... • Avoid hyperthermia ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
Unexpected cardiac arrest ... where other causes ... as patient is stable ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
pulse or impending arrest ... anaphylaxis (→ 3-1); malignant ... hyperthermia crisis ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
Guidelines for Crises ... Call for cardiac arrest ... consultation with cardiology ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
Consider known drug causes ... hyperkalaemia, hypothermia ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup #Cardiology
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
Sepsis → 3-14 o Malignant ... hyperthermia crisis ... Intraoperative #Checklist ... Diagnosis #Workup #Management ... #Workup #anesthesia
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