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management anesthesia anesthesiology checklist intraoperative differential pocus treatment amyloidosis criticalcare tamponade a4c pericardial plax complex evaluation foamed heartfailure myocarditis pharmacology
Diagnostic approach to the admitted patient with possible COVID-19 Initial evaluation - Chest X-ray - Lung ultrasound (thorough "lawn-mower"
Diagnostic approach ... as clinically indicated ... (e.g. echocardiogram ... pulmcrit via Internet Book ... iBookCC #COVID19 #algorithm
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework IATROGENIC DISEASE Secondary to invasive cardiac procedures NONIATROGENIC • Malignancy (e.g., metastatic spread:
- Differential Diagnosis ... Secondary to invasive cardiac ... • Malignancy (e.g ... are uncommon - 1 ... #cardiology
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
CM5 continuous ECG ... Obtain a 12-lead ECG ... consultation with cardiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
Myocarditis Diagnosis ... gallop • Abnormal ECG ... , echocardiogram ... shock, sudden cardiac ... #Management #Cardiology
Approach to the Hypercoagulable State Arterial thromboembolism → Cardiac rhythm monitoring, Echocardiogram, Vascular imaging → Test for APS, particularly
thromboembolism → Cardiac ... rhythm monitoring, Echocardiogram ... • Provoked (e.g ... #hematology #diagnosis ... #algorithm #hematology
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... of blood, pus, effusion ... • Diagnostic ... Child: 20 ml.kg-1) ... #Management #Workup
Algorithm for the Evaluation of Regular, Wide-Complex Tachycardia 1. aVR: Is the initial deflection in aVR positive?
Algorithm for the ... Wide-Complex Tachycardia 1. ... dissociation (fusion ... Interpretation #ECG ... #Diagnosis #Cardiology
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
rate, rhythm, perfusion ... adult, 10 ml.kg-1 ... Anaphylaxis → 3-1 ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
crystalloid: 20 ml.kg-1 ... repeat sample at 1- ... an appropriate critical ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
(Box A, Box B) ... Consider monitoring cardiac ... cultures if possible (eg ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
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