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cardiology anesthesia anesthesiology workup intraoperative cardiac causes criticalcare airway algorithm bradi cardiacarrest chf clinical foamed heartfailure hyperthermia hypotension icu increased
Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
Endocarditis checklist ... consultation • Valve ... block (+/- daily EKG ... growth or worsening valve ... #diagnosis #management
Bradycardia - Differential Diagnosis Framework BRADI Mnemonic • BRASH/Hyperkalemia • Reduced oxygen/Glucose/Temp • ACS • Drugs •
Bradycardia - Differential ... Diagnosis Framework ... Endocarditis + ... #differential # ... diagnosis #causes
Cardiac Stress Testing Exercise: • Everyone who can exercise should! • They must be able to raise
85% of predicted value ... Contraindications: - Bradycardia ... : EKG ($), ECHO ... Stress #Testing #cardiology ... #management #diagnosis
Bradycardia 1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
Bradycardia 1) ... O2, Monitors, ECG ... SarahFoohey #bradycardia ... #diagnosis #differential ... #management #cardiology
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
system including valves ... known drug causes (eg ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup #Cardiology
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
• Prosthetic valve ... Marantic (NTBE) Differential ... ↑ ESR, CRP • EKG ... #Endocarditis #diagnosis ... #management #cardiology
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
hypertension, tachy- or bradycardia ... CM5 continuous ECG ... consultation with cardiology ... Intraoperative #Checklist ... #Diagnosis #Management
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Sepsis (→ 3-14) e.g ... amphetamines) Toxic: • Radiologic ... #Hyperthermia #Differential ... Anesthesiology #Anesthesia #Checklist ... #Diagnosis #Management
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
Palpitations - Differential ... Diagnosis Framework ... failure • Mitral valve ... Mechanical prosthetic valve ... #Differential #
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
system including valves ... reservoir bag and APL valve ... #Hypotension #Differential ... Intraoperative #Checklist ... #Diagnosis #Management
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