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diagnosis anesthesia anesthesiology ekg intraoperative workup bradycardia cardiac differential tachycardia acute acutepe afib algorithm arrest bradyarrhythmia control cooling digitalis digoxin
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
Approach to ECGs ... 200ms from longer pause ... bradyarrhythmia #ECG ... #electrocardiogram ... #cardiology #differential
Digoxin effect on Electrocardiogram (EKG) Digoxin is a cardiac glycoside from the foxglove leaf Mechanism - Inhibits Na-K
Digoxin effect on Electrocardiogram ... nodal conduction Uses ... and atrial flutter ... Digoxin effect on ECG ... #EKG #Cardiology
EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
evaluating for other causes ... Adrenergic Drive: • Sinus ... also a result of atrial ... AcutePE #diagnosis #cardiology ... #electrocardiogram
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
flutter, ectopic ... Treat underlying cause ... Treat underlying cause ... Tachycardia #Treatment #management ... #cardiology #algorithm
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... flutter, or atrial ... fibrillation/flutter ... Valvular disease (e.g ... #Palpitations #Cardiology
Acute Atrial Fibrillation - Initial Options for Rate Control Diltiazem IV • Rapid onset and rapidly
Acute Atrial Fibrillation ... regimen is not as clear ... conversion to sinus ... #pharmacology #management ... #cardiology #AFib
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
CM5 continuous ECG ... Consider invasive arterial ... consultation with cardiology ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
no pulse OR not sinus ... Consider known drug causes ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup #Cardiology
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia Outcome from cardiac arrest is determined by
❹ Insert intra-arterial ... Obtain 12-lead ECG ... and discuss with cardiology ... Intraoperative #Checklist ... #Diagnosis #Management
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