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anesthesiology intraoperative diagnosis workup differential anaphylaxis cardiacarrest cyanosis difficult embolism evacuation hypotension hypoxia intubate intubation patient tamponade thromboembolism vte
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia This is the last resort when
optimal airway management ... airway expertise e.g ... trolley and then cardiac ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
: hypotension, tachycardia ... unexplained loss of cardiac ... Consider thrombolysis e.g ... over 2 h (>65 kg ... Intraoperative #Checklist
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
obtain 12-lead ECG ... hypovolaemia; primary cardiac ... ); circulatory embolus ... Intraoperative #Checklist ... #Diagnosis #Management
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
and positioning (e.g ... non-sinus → 2-7 Tachycardia ... Endocrine cause (eg ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexplained tachycardia ... alternate vasopressor (e.g ... Anesthesiology #Anesthesia ... Intraoperative #Checklist ... #Diagnosis #Management
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
iatrogenic causes, e.g ... pericardiocentesis kit (eg ... Plan definitive management ... Intraoperative #Checklist ... #Diagnosis #Management
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 ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
blood gas, 12-lead ECG ... o Circulatory embolism ... → 3-5 o Cardiac ... Intraoperative #Checklist ... Diagnosis #Workup #Management
Emergency Evacuation - Guidelines for Crises in Anaesthesia Anaesthetised or sedated patient requires unplanned transfer because
environmental hazard (e.g ... Transfer on operating table ... Anesthesiology #Anesthesia ... Intraoperative #Checklist ... #Management
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