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diagnosis management anesthesia anesthesiology intraoperative workup clinical algorithm differential treatment foamed pharmacology anaphylaxis arrest arrhythmogenic arvd cardiacarrest cardiomyopathy catheterization cathlab
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 ... Can be used in all ... Inotropes #comparison #table ... #pharmacology #criticalcare
Case – 26M with no medical history presents with chest pain and palpitations. He states that
no medical history ... history of sudden cardiac ... 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
Inpatient Cath Lab Indications Cath Lab ASAP: STEMI NSTEMI: 1. Unstable/cardiogenic shock 2. Severe LV dysfunction or 3. Recurrent/persistent rest angina despite
despite intensive medical ... low (1-2) risk, +ECG ... Rx: NSTEMI/UA: stable ... #Indications #Cardiac ... catheterization #cardiology
Cardiac Stress Testing Exercise: • Everyone who can exercise should! • They must be able to raise
Cardiac Stress Testing ... • They must be able ... production to cause ... arrythmias Diagnostics: EKG ... Stress #Testing #cardiology
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
Cardiac Arrest - ... patient’s underlying medical ... • Check ECG rhythm ... CardiacArrest #Checklist ... Intraoperative #Checklist
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexpected cardiac ... pack. ❸ Remove all ... alternate vasopressor (e.g ... as patient is stable ... 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
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
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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