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cardiology differential management anesthesia anesthesiology checklist intraoperative ecg bradycardia cardiac clinical embolism endocarditis pulmonary rhythm tachycardia acidosis acutepe airway arrest
EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
evaluating for other causes ... common finding) • Atrial ... also a result of atrial ... Embolism #AcutePE #diagnosis ... #cardiology #electrocardiogram
Cannon A Waves • Caused by atrial contracting against a closed tricuspid valve • Atrioventricular dissociation
Cannon A Waves • Caused ... closed tricuspid valve ... activation from SVT (e.g ... Cannon #AWaves #diagnosis ... #cardiology #CVP
Ectopic atrial rhythm • The atrial rate is less than 100 bpm. • PR interval within
• The atrial ... wave morphology varies ... #rhythm #cardiology ... #diagnosis #ekg ... #ecg #electrocardiogram
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
(3) SVTs - atrial ... 200ms from longer pause ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #differential
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
system including valves ... reservoir bag and APL valve ... blood gas, 12-lead ECG ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Pulmonary Embolism on ECG Mid 30's female with chest pain/dyspnea. Triage EKG (no prior).
Differential/diagnosis ... See thread for POCUS ... seen in 34% of cases ... #EKG #Electrocardiogram ... #clinical #cardiology
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
- Differential Diagnosis ... Palpitations Diagnosis ... failure • Mitral valve ... Mechanical prosthetic valve ... #Palpitations #Cardiology
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
Guidelines for Crises ... Consider invasive arterial ... consultation with cardiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
• Prosthetic valve ... Libman Sacks) • Atrial ... Septic Emboli Cause ... ↑ ESR, CRP • EKG ... #management #cardiology
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
system including valves ... (eg. remifentanil ... Intraoperative #Checklist #Diagnosis ... #Management #Workup ... #Cardiology
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