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anesthesia checklist intraoperative cardiology differential myocarditis perioperative anaphylaxis arrest biopsy bradycardia cardiacarrest causes cico clinical constrictive cooling cyanosis difficult embolism
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
Myocarditis Diagnosis ... gallop • Abnormal ECG ... , echocardiogram ... shock, sudden cardiac ... #Management #Cardiology
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
Intraoperative Cardiac ... consultation with cardiology ... Ischemia #Ischaemia #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Myocarditis 5 Principles of Myocarditis: 1. Build clinical suspicion 2. Decide on EMBx 3. Manage acute cardiac injury 4. Manage chronic
Manage acute cardiac ... Pericarditis, Tamponade EKG ... agent, steroids, AC ... #Myocarditis #diagnosis ... #management #cardiology
Constrictive Pericarditis on Echocardiogram A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
had gained 15 kg ... to workup right-heart ... expiration not meeting diagnostic ... #a4c #pocus #clinical ... #cardiology
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 Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Sepsis (→ 3-14) e.g ... amphetamines) Toxic: • Radiologic ... Differential #Causes #Anesthesiology ... Anesthesia #Checklist #Diagnosis ... #Management #Workup
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
unexplained loss of cardiac ... over 2 h (>65 kg ... Embolism #VTE #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... • Diagnostic ... Plan definitive management ... #Tamponade #Anesthesiology ... #Management #Workup
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia This is the last resort when
airway expertise e.g ... trolley and then cardiac ... Intubation #Difficult #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
Consider monitoring cardiac ... cultures if possible (eg ... anaesthesia #Sepsis #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
consider: o Cardiac ... Sepsis → 3-14 o Cardiac ... #Differential #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
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