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diagnosis anesthesia anesthesiology checklist intraoperative cardiology differential treatment clinical tamponade algorithm complex criticalcare effusion foamed pericardial perioperative pocus a4c anaesthetic
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
gallop • Abnormal ECG ... , echocardiogram ... shock, sudden cardiac ... death Management ... #Cardiology
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
Intraoperative Cardiac ... Guidelines for Crises ... consultation with cardiology ... Checklist #Diagnosis #Management ... #Workup
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... • Call for cardiac ... Plan definitive management ... Checklist #Diagnosis #Management ... #Workup
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
consider: o Cardiac ... Anaphylaxis → 3-1 o Cardiac ... Sepsis → 3-14 o Cardiac ... Checklist #Diagnosis #Management ... #Workup
Cardiac Stress Testing Exercise: • Everyone who can exercise should! • They must be able to raise
Cardiac Stress Testing ... production to cause ... arrythmias Diagnostics: EKG ... Stress #Testing #cardiology ... #management #diagnosis
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
maintained fever CAUSES ... amphetamines) Toxic: • Radiologic ... #Differential #Causes ... Checklist #Diagnosis #Management ... #Workup
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
in Anaesthesia Causes ... unexplained loss of cardiac ... over 2 h (>65 kg ... mainstay of initial management ... #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexpected cardiac ... arrest where other causes ... alternate vasopressor (e.g ... Checklist #Diagnosis #Management ... #Workup
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia Signs of severe toxicity: • Sudden alteration in
Guidelines for Crises ... problem. ❸ Call for cardiac ... cardiopulmonary bypass ... Checklist #Diagnosis #Management ... #Workup
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
devices could have caused ... Consider monitoring cardiac ... cultures if possible (eg ... Discuss ongoing management ... #Workup
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