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diagnosis management anesthesiology checklist intraoperative differential treatment algorithm anaphylaxis arvd cardiacarrest cardiology clinical cyanosis dysplasia epsilonwaves evaluation hyperkalemia hypotension hypoxia
Case – 26M with no medical history presents with chest pain and palpitations. He states that
no medical history ... presents with chest ... of sudden cardiac ... Clinical #Cardiology #ECG ... #EKG #ARVD #Arrhythmogenic
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
symptoms may include chest ... trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... Diagnosis #Management #Workup
Chest Pain - Diagnosis and Workup Algorithm History and Exam Acute life-threatening causes: • Acute myocardial infarction •
Chest Pain - Diagnosis ... life-threatening causes ... Pulmonary embolism • Cardiac ... : • EKG • Bedside ... , PT. aPTT • Serial
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
Cardiac Arrest - ... patient’s underlying medical ... • Call for cardiac ... • Check ECG rhythm ... Diagnosis #Management #Workup
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
Breathing • Check chest ... and positioning (e.g ... (eg steroid dependency ... Anesthesiology #Anesthesia ... Diagnosis #Management #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexpected cardiac ... surgery. ❷ Call for cardiac ... alternate vasopressor (e.g ... as patient is stable ... Diagnosis #Management #Workup
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
likely underlying cause ... Consider monitoring cardiac ... cultures if possible (eg ... Anesthesiology #Anesthesia ... Diagnosis #Management #Workup
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
Guidelines for Crises ... Breathing • Check chest ... obtain 12-lead ECG ... hypovolaemia; primary cardiac ... Diagnosis #Management #Workup
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
blood gas, 12-lead ECG ... embolism → 3-5 o Cardiac ... ) → 3-12 o Cardiac ... #Management #Workup ... #anesthesia
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
complications from anesthesia ... Medical history ... indicated • EKG ... Obtain EKG if: ... change CV risk Chest
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