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anesthesiology workup anesthesia differential intraoperative algorithm criticalcare electrocardiogram cardiac endocarditis summary bradycardia chf heartfailure hypotension infectiousdiseases myocarditis shock stable widecomplex
Multifocal Atrial Tachycardia (MAT) • At least 3 different P wave morphologies: • Rate 100-180 • Irregular Etiology
Multifocal Atrial Tachycardia ... • Oxygen • Treatment ... #MAT #Cardiology ... #Diagnosis #ECG ... #EKG #Management
Algorithm for the Evaluation of Regular, Wide-Complex Tachycardia 1. aVR: Is the initial deflection in aVR positive?
, Wide-Complex Tachycardia ... dissociation (fusion or capture ... Interpretation #ECG ... #EKG #Electrocardiogram ... #Diagnosis #Cardiology
Hypertension in Anesthesiology - Differential Diagnosis and Management Initial checklist: - Verify BP (e.g. surgeon
and Management ... - Verify BP (e.g ... vaporizer) Initial treatment ... — 0.1 - 3 mcg/kg ... #Management #Checklist
Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
Endocarditis checklist ... if suspected (e.g ... block (+/- daily EKG ... of infection (e.g ... #criticalcare #diagnosis
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker 1) Identify LBBB or
Checklist for diagnosing ... fusing - Capture ... #Checklist #EKG ... electrocardiogram #ecg ... #cardiology #lbbb
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Treatment of Stable ... Control rate (e.g ... Control rate (e.g ... #Treatment #management ... #cardiology #algorithm
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
Myocarditis Diagnosis ... Unexplained sinus tachycardia ... gallop • Abnormal ECG ... cardiac death Management ... #Management #Cardiology
Treatment of Stable Wide-Complex Tachycardia Regular • If ventricular tachycardia or uncertain rhythm: -
Treatment of Stable ... Wide-Complex Tachycardia ... nodal agents (e.g ... #Treatment #management ... #cardiology #algorithm
Approach to ECGs - VT vs. SVT - Wide Tachycardias DDx = VT vs. SVT with BBB All
SVT - Wide Tachycardias ... different rates) - Capture ... VentricularTachycardia #Versus #ecg ... #ekg #cardiology ... #diagnosis #electrocardiogram
Hypotension in Anesthesiology - Differential Diagnosis and Management Initial checklist: - Verify BP (e.g. surgeon
- Differential Diagnosis ... and Management ... Initial checklist ... - Verify BP (e.g ... compression) Initial treatment
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