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diagnosis anesthesia anesthesiology intraoperative workup bradycardia anaphylaxis bradyarrhythmia cardiacarrest cardiomyopathy ekg electrocardiogram hypotension increased obgyn palpitations peripartum ppcm pressure tachyarrhythmia
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
Approach to ECGs ... abberancy - N B Afib ... bradyarrhythmia #ECG ... #EKG #diagnosis ... #differential
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
Palpitations - Differential ... exam • 12-lead ECG ... Valvular disease (e.g ... /Afib/WPW) • Loss ... #Palpitations #Cardiology
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
Intraoperative Tachycardia ... Tachycardia should ... obtain 12-lead ECG ... Intraoperative #Checklist ... #Diagnosis #Management
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
and positioning (e.g ... non-sinus → 2-7 Tachycardia ... Endocrine cause (eg ... Intraoperative #Checklist ... #Diagnosis #Management
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
Increased Airway ... blood gas, 12-lead ECG ... #Pressure #Differential ... Intraoperative #Checklist ... #Diagnosis #Management
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
• Check ECG rhythm ... CardiacArrest #Checklist ... #Differential # ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
• Confirm airway ... known drug causes (eg ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup #Cardiology
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexplained tachycardia ... • Maintain the airway ... alternate vasopressor (e.g ... Intraoperative #Checklist ... #Diagnosis #Management
Peripartum Cardiomyopathy (PPCM) What is PPCM? • A form of acute systolic heart failure that develops late in
of pregnancy (e.g ... Genetic variants (e.g ... deficiencies (e.g ... , selenium) Differential ... Consider biomarkers (e.g
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