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anesthesia anesthesiology checklist intraoperative management cardiology cardiac clinical differential echocardiogram pain algorithm anaphylaxis arrest bradycardia chestpain complex cooling cyanosis dissection
Chest Pain - Diagnosis and Workup Algorithm History and Exam Acute life-threatening causes: • Acute myocardial infarction •
Chest Pain - Diagnosis ... life-threatening causes ... infarction • Aortic ... embolism • Cardiac tamponade ... : • EKG • Bedside
Chest Pain - Differential Diagnosis Framework Cardiovascular Causes of Chest Pain: • Myocardium: - Myocarditis - CAD/ACS - Valvulopathy - Myopericarditis
Diagnosis Framework ... Vascular: - Aortic ... Pericarditis - Tamponade ... • Pleura: - Effusion ... #Causes #Cardiology
Aortic Dissection on POCUS Echocardiogram - PSAX view Patient presented with chest pain. TEE sens (97-99%), TTE sens
Aortic Dissection ... presented with chest ... associated pericardial effusion ... /tamponade. ... #clinical #cardiology
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 Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... of blood, pus, effusion ... . ❿ Plan definitive ... specialist referral. ⓫ Plan ... #Management #Workup
Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - PLAX Pt sent to ED c intradialytic hypotension.
on POCUS Echocardiogram ... - PLAX Pt sent ... K 5.9 without EKG ... #PLAX #clinical ... #cardiology
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 Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
Breathing • Check chest ... rate, rhythm, perfusion ... 1 o Cardiac tamponade ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
agents, patent blue ... • Plan for repeat ... feasible (Box B). ⓭ Plan ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
blood gas, 12-lead ECG ... o Cardiac tamponade ... Intraoperative #Checklist #Diagnosis ... #Workup #Management ... #Workup #anesthesia
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
Breathing • Check chest ... (eg. remifentanil ... Intraoperative #Checklist #Diagnosis ... #Management #Workup ... #Cardiology
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia Outcome from cardiac arrest is determined by
poor vital organ perfusion ... Obtain 12-lead ECG ... develop (Box B). ❾ Plan ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
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