21 results
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... Unexplained sinus tachycardia ... gallop • Abnormal ECG ... shock, sudden cardiac ... #Management #Cardiology
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... shock state) • Tachycardia ... telemetry, 12-Lead EKG ... Cardiac surgery?
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
Intraoperative Cardiac ... consultation with cardiology ... Ischemia #Ischaemia #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
: hypotension, tachycardia ... unexplained loss of cardiac ... Embolism #VTE #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia
Tachycardia in theatre is often due to inadequate depth
obtain 12-lead ECG ... hypovolaemia; primary cardiac ... #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... indicated, start CPR ... Plan definitive management ... #Tamponade #Anesthesiology ... #Management #Workup
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
non-sinus → 2-7 Tachycardia ... consider: o Cardiac ... #Differential #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
• Unexplained hypotension
• Unexplained bronchospasm (wheeze may be absent
• Unexplained tachycardia ... arrest, start CPR ... #Anaphylaxis #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia
This is the last resort when
airway expertise e.g ... trolley and then cardiac ... Intubation #Difficult #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia
Signs of severe toxicity:
 • Sudden alteration in
problem. ❸ Call for cardiac ... Start continuous CPR ... Anaesthetic #Toxicity #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup