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diagnosis anesthesiology checklist management algorithm cardiacarrest cyanosis differential embolus evaluation ischaemia ischemia pain perioperative preop preoperative risk stratification tachycardia thromboembolism
Chest Pain - Diagnosis and Workup Algorithm History and Exam Acute life-threatening causes: • Acute myocardial infarction •
Chest Pain - Diagnosis ... • Pulmonary embolism ... • Cardiac tamponade ... : • EKG • Bedside ... , PT. aPTT • Serial
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Intraoperative Circulatory ... , tachycardia, hypoxemia ... unexplained loss of cardiac ... Consider thrombolysis e.g ... Diagnosis #Management #Workup
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
Intraoperative Cardiac ... symptoms may include chest ... trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
patient’s underlying medical ... • Check ECG rhythm ... 4 H’s, 4 T’s: Hypoxia ... Anesthesiology #Anesthesia ... #Intraoperative
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
Intraoperative Hypoxia ... blood gas, 12-lead ECG ... o Circulatory embolism ... → 3-5 o Cardiac ... #Management #Workup
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
Breathing • Check chest ... obtain 12-lead ECG ... hypovolaemia; primary cardiac ... ); circulatory embolus ... Diagnosis #Management #Workup
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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