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diagnosis anesthesia anesthesiology workup differential intraoperative cardiology barre guillain neurology anaphylaxis arrhythmias carotidsinussyndrome cerebralhypoperfusion chf clinical complexes criticalcare embolism embolus
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Treatment of Stable ... Control rate (e.g ... Control rate (e.g ... #Treatment #management ... #cardiology #algorithm
Syncope is a sudden, transient loss of consciousness, which is thought to be secondary to cerebral
be divided into cardiac ... syncope, e.g., ... carotid sinus syndrome ... and an initial ECG ... The treatment strategy
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Treatment depends ... Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... (e.g. haloperidol ... #Diagnosis #Management
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
in Anaesthesia Causes ... : hypotension, tachycardia ... unexplained loss of cardiac ... Consider thrombolysis e.g ... Intraoperative #Checklist
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
effusion fluid or air ... , e.g. central line ... pericardiocentesis kit (eg ... thoracotomy is a better treatment ... Intraoperative #Checklist
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
manifestation of cardiac ... (e.g., long QT ... syndrome, ARVC) ... 300 = NSVT EKG ... more intensive treatment
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
and positioning (e.g ... non-sinus → 2-7 Tachycardia ... (eg steroid dependency ... Intraoperative #Checklist ... #Diagnosis #Management
Leukostasis vs Tumor Lysis Syndrome Leukostasis: • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
high WBC count cause ... lethargy, hematuria, cardiac ... unless worrisome EKG ... with tetany or cardiac ... TLS #diagnosis #management
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexplained tachycardia ... trolley, anaphylaxis treatment ... alternate vasopressor (e.g ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
remember to tailor treatment ... obtain 12-lead ECG ... hypovolaemia; primary cardiac ... Intraoperative #Checklist ... #Diagnosis #Management
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