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cardiology ecg ekg anesthesia anesthesiology intraoperative workup bradycardia algorithm anaesthetic bradyarrhythmia central crisis criticalcare deep elevation gravis high hypotension local
Bradycardia Diagnostic and Management Algorithm CONSIDER ETIOLOGY (not inclusive): - STRUCTURAL: sick sinus, AV block, ischemia,
sick sinus, AV block ... Hypothyroidism - TOX: beta-blockers ... LIFE THREATENING CAUSES ... TREATMENT - Drugs (beta-blockers ... #Algorithm #Differential
Deep T Wave Inversions - Differential Normal variants A. Juvenile T wave pattern
global T wave inversion ... bundle branch blocks ... bundle branch block ... #Diagnosis #Causes ... Cardiology #ECG #EKG #Electrocardiogram
Approach to ECGs - Syncope Syndromes Electrolytes • ↑K - brady, peak T, wide QRS, no P,
assoc with 1K, AV block ... Trifascicular block ... 1st degree heart block ... #electrocardiogram ... #differential
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
- w/ variable block ... (3) SA node block ... rhythms (5) AV block ... - Proximal AV block ... QRS - Distal AV block
Myasthenic Crisis Checklist - Myasthenia Gravis Evaluation - Chest X-ray and lung ultrasound (exclude other lung
Myasthenic Crisis Checklist ... Phos), CBC with differential ... Pyridostigmine - New diagnosis ... Cardiovascular: Beta-blockers ... #Management #CriticalCare
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
effects of neuraxial block ... pressure as a cause ... #Hypotension #Differential ... Intraoperative #Checklist ... #Diagnosis #Management
High Central Neuraxial Block - Guidelines for Crises in Anaesthesia • Can occur with deliberate or accidental
Central Neuraxial Block ... hypnosis as soon as clinical ... Consider other causes ... Central #Neuraxial #Block ... #Diagnosis #Management
Myasthenia Gravis Overview Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction. Ab to
Ab to AChR blocks ... life-threatening Differential ... myasthenia Diagnosis ... Penicillamine, Beta ... #management #neurology
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... Diagnosis Framework ... Bundle Branch Block ... bundle-branch block ... #ecg #ekg #electrocardiogram
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia Signs of severe toxicity: • Sudden alteration in
Guidelines for Crises ... bradycardia, conduction blocks ... inform immediate clinical ... Intraoperative #Checklist ... #Diagnosis #Management
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