19 results
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
pre-existing history or risk ... CM5 continuous ECG ... consultation with cardiology ... #Ischaemia #Anesthesiology ... Checklist #Diagnosis #Management
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Unstable/cardiogenic ... , +ECG changes or ... Rx: NSTEMI/UA: stable ... #Indications #Cardiac ... catheterization #cardiology
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
unexplained loss of cardiac ... Consider thrombolysis e.g ... mainstay of initial management ... with saline and cover ... Embolism #VTE #Anesthesiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
complications from anesthesia ... functional status - Able ... metabolic equivalent able ... Stable patients ... one post op Cardiology
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
Cardiac Stress Testing ... • They must be able ... CT/MRI ($$$$) CORE ... Stress #Testing #cardiology ... #management #diagnosis
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia
Outcome from cardiac arrest is determined by
Obtain 12-lead ECG ... and discuss with cardiology ... mmol.l-1 ❼ Check core ... ❾ Plan further management ... #Arrest #Anesthesiology
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
analgesia (consider risk ... consider: o Cardiac ... Sepsis → 3-14 o Cardiac ... #Differential #Anesthesiology ... Checklist #Diagnosis #Management
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
• Unexplained hypotension
• Unexplained bronchospasm (wheeze may be absent
• Unexpected cardiac ... alternate vasopressor (e.g ... as patient is stable ... #Anaphylaxis #Anesthesiology ... Checklist #Diagnosis #Management
Intra-Aortic Balloon Pump (IABP)

Intra-aortic balloon counter-pulsation is a method of invasive hemodynamic support. A catheter is
Intra-aortic balloon counter-pulsation ... sync with the cardiac ... • Triggers (EKG ... Pump #diagnosis #management ... #cardiology #criticalcare
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
Pancreatitis management ... guide etiology & management ... increase the risk ... limit them as able ... #CriticalCare