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anesthesia anesthesiology checklist intraoperative cardiology treatment anaphylaxis arrest cardiomyopathy cooling criticalcare differential embolism embolus hyperkalemia hypotension ischaemia ischemia k myocarditis
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
Myocarditis Diagnosis ... Unexplained sinus tachycardia ... gallop • Abnormal ECG ... shock, sudden cardiac ... #Management #Cardiology
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... shock state) • Tachycardia ... telemetry, 12-Lead EKG ... Cardiac surgery?
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
Intraoperative Cardiac ... CM5 continuous ECG ... consultation with cardiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
: hypotension, tachycardia ... unexplained loss of cardiac ... over 2 h (>65 kg ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
Intraoperative Tachycardia ... obtain 12-lead ECG ... hypovolaemia; primary cardiac ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
non-sinus → 2-7 Tachycardia ... consider: o Cardiac ... Sepsis → 3-14 o Cardiac ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Hyperkalemia - Diagnosis ... and Management ... reabsorption) Workup ... line, stabilizes cardiac ... Monitor for tachycardia
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexplained tachycardia ... • Unexpected cardiac ... alternate vasopressor (e.g ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia Outcome from cardiac arrest is determined by
Obtain 12-lead ECG ... and discuss with cardiology ... ❾ Plan further management ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Peripartum Cardiomyopathy (PPCM) What is PPCM? • A form of acute systolic heart failure that develops late in
cardiomyopathy • Tachycardia-induced ... Nonspecific: sinus tachycardia ... experience recovery of cardiac ... recognition and management ... Cardiomyopathy #Cardiology
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