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differential anesthesiology cardiology checklist workup intraoperative electrocardiogram causes equivalents hematology ischemia abscess algorithm anaphylaxis aortic biopsy chf clinical criticalcare dissection
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
= Biomarkers + ECG ... leads with STE in avR ... inversion - STE avR ... #Ischemia #ECG ... #EKG #diagnosis
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... ST elevation in aVR ... V2 • Wellens sign ... #Equivalents #ECG ... #EKG #diagnosis
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
amniotic fluid, air ... Signs: hypotension ... Consider thrombolysis e.g ... Discontinue source of air ... attempt to aspirate air
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
is unconscious, signs ... trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... #Management #Workup
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 ... malignant syndrome (e.g ... #Management #Workup
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
effusion fluid or air ... iatrogenic causes, e.g ... pericardiocentesis kit (eg ... thoracotomy is a better treatment ... examination and vital signs
Myocarditis 5 Principles of Myocarditis: 1. Build clinical suspicion 2. Decide on EMBx 3. Manage acute cardiac injury 4. Manage chronic
Pericarditis, Tamponade EKG ... Findings: - AV ... Low voltage Treatment ... #Myocarditis #diagnosis ... #management #cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Framework STEMI ... depression in aVR ... depression in aVR ... #cardiology #ecg ... #ekg #electrocardiogram
Leukostasis vs Tumor Lysis Syndrome Leukostasis: • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
, dyspnea, +/- CXR ... WBC >100k, + lab signs ... unless worrisome EKG ... Syndrome #TLS #diagnosis ... #management #hematology
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
of more of the signs ... arrest, start CPR ... alternate vasopressor (e.g ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
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