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management anesthesia anesthesiology cardiology intraoperative cardiac ecg electrocardiogram airway anaphylaxis arrest bradyarrhythmia cardiacarrest cardiomyopathy clinical cooling cva embolism hyperthermia hypotension
Myocarditis - Diagnosis and Causes • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
Paraclinical assessment: EKG ... pericarditis • Rule out differential ... #Myocarditis #differential ... #Diagnosis #Causes ... #cardiology #MRI
How do you work up an ischemic CVA? A) Initial Evaluation • ABCs • IV access, monitor
How do you work ... Evaluate underlying cause ... Cardioembolic: • ECG ... #CVA #stroke #workup ... #diagnosis #checklist
Cardiac Stress Testing Exercise: • Everyone who can exercise should! • They must be able to raise
production to cause ... Contraindications: - Bradycardia ... : EKG ($), ECHO ... ($$$), PET CT/MRI ... Stress #Testing #cardiology
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
amphetamines) Toxic: • Radiologic ... #Hyperthermia #Differential ... #Anesthesia #Checklist ... #Diagnosis #Management ... #Workup
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
Consider known drug causes ... (eg. remifentanil ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup #Cardiology
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
hypertension, tachy- or bradycardia ... consultation with cardiology ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
60 (1) Sinus bradycardia ... 200ms from longer pause ... #Tachycardia #Bradycardia ... #EKG #diagnosis ... #differential
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
and positioning (e.g ... #Hypotension #Differential ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
tachycardia or bradycardia ... alternate vasopressor (e.g ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
blood gas, 12-lead ECG ... Airway #Pressure #Differential ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
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