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management diagnosis cardiology checklist anesthesia anesthesiology differential clinical algorithm cardiogenic chf criticalcare echocardiogram fibrillation heartfailure summary ventricular vfib acidosis anaphylaxis
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Setup - Ultrasound ... telemetry, 12-Lead EKG ... pericarditis, Pericardial Tamponade ... #criticalcare #treatment ... #workup
Myocarditis 5 Principles of Myocarditis: 1. Build clinical suspicion 2. Decide on EMBx 3. Manage acute cardiac injury 4. Manage chronic
HF, Cardiogenic shock ... Pericarditis, Tamponade ... EKG Findings: ... Low voltage Treatment ... agent, steroids, AC
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... iatrogenic causes, e.g ... pericardiocentesis kit (eg ... #Anesthesia #Intraoperative ... Diagnosis #Management #Workup
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... visualization with use of ultrasound ... Fick calculated cardiac ... IF LVEDP >15 or Cardiac ... TIMI III flow in all
Severe Heart Failure & Cardiogenic Shock - Management Checklist Evaluation - EKG & echocardiography
Evaluation - EKG ... (no B-lines on ultrasound ... Revascularization, treatment ... Nephrotoxins (e.g ... channel blocker (eg
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
and positioning (e.g ... tamponade → 3-9 ... Endocrine cause (eg ... Anesthesiology #Anesthesia #Intraoperative ... Diagnosis #Management #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
Intraoperative Anaphylaxis ... trolley, anaphylaxis treatment ... pack. ❸ Remove all ... alternate vasopressor (e.g ... Diagnosis #Management #Workup
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
Cardiac Arrest - ... • Check ECG rhythm ... Hypothermia Tamponade ... Anesthesiology #Anesthesia #Intraoperative ... Diagnosis #Management #Workup
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
Intraoperative Tachycardia ... remember to tailor treatment ... obtain 12-lead ECG ... hypovolaemia; primary cardiac ... Diagnosis #Management #Workup
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
by excretion (e.g ... its metabolism (e.g ... ->treatments include ... perfusion - Cardiac ... failure - Low cardiac
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