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diagnosis management anesthesia anesthesiology intraoperative workup differential clinical pharmacology table treatment algorithm arrest arrhythmogenic arvd cardiacarrest cardiomyopathy chf cico comparison
Case – 26M with no medical history presents with chest pain and palpitations. He states that
no medical history ... second most common cause ... of sudden cardiac ... #Clinical #Cardiology ... #ECG #EKG #ARVD
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... consultation with cardiology ... Intraoperative #Checklist
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
Intraoperative Anaphylaxis ... • Unexpected cardiac ... pack. ❸ Remove all ... alternate vasopressor (e.g ... Intraoperative #Checklist
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
and positioning (e.g ... ischaemia → 3-12 o Anaphylaxis ... → 3-1 o Cardiac ... (eg steroid dependency ... Intraoperative #Checklist
Common Vasopressors and Inotropes Norepinephrine (NE) - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
is not desired (e.g ... is not desired (e.g ... Bradyarrhythmias, Some cases ... Can be used in all ... #pharmacology #criticalcare
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
patient’s underlying medical ... • Check ECG rhythm ... 10) Acidosis Anaphylaxis ... CardiacArrest #Checklist ... Intraoperative #Checklist
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia This is the last resort when
Guidelines for Crises ... last resort when all ... airway expertise e.g ... trolley and then cardiac ... Intraoperative #Checklist
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
Guidelines for Crises ... obtain 12-lead ECG ... hypovolaemia; primary cardiac ... amniotic (→ 3-5); anaphylaxis ... Intraoperative #Checklist
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
Diagnosis: • Focused medical ... exam • 12-lead ECG ... Nonarrhythmic Cardiac ... Valvular disease (e.g ... #Palpitations #Cardiology
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
exclude other causes ... cardiomyopathy (e.g ... hemodynamics (e.g ... LVEF recovery (e.g ... teratogenic GDMT meds (e.g
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