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diagnosis anesthesiology checklist intraoperative differential ekg treatment bradycardia cardiac pulmonary tachycardia acute acutepe afib airway algorithm arrest bradyarrhythmia cardiomyopathy control
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
Approach to ECGs ... (3) Multifocal atrial ... 200ms from longer pause ... #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
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
rate >100 bpm sinus ... 100 bpm and non-sinus ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management ... #Workup
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
Consider invasive arterial ... consultation with cardiology ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management ... #Workup
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
cultures if possible (eg ... Discuss ongoing management ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management ... #Workup
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
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
no pulse OR not sinus ... pulse present AND sinus ... Consider known drug causes ... Checklist #Diagnosis #Management ... #Workup #Cardiology
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
help AND check arterial ... blood gas, 12-lead ECG ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management ... #Workup
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