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clinical diagnosis cardiology pocus management checklist anesthesiology intraoperative pericardial workup differential a4c cardiac malignant mri ultrasound alternans electrical plax tamponade
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
maintained fever CAUSES ... Sepsis (→ 3-14) e.g ... amphetamines) Toxic: • Radiologic ... #Differential #Causes ... Anesthesiology #Anesthesia
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
hypovolaemia or combined causes ... rate, rhythm, perfusion ... and positioning (e.g ... (eg steroid dependency ... Anesthesiology #Anesthesia
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... consultation with cardiology ... Anesthesiology #Anesthesia
Pericardial Clot on Echocardiogram ST elevation of acute pericarditis was misdiagnosed as STEMI and thrombolysed with SK
Pericardial Clot on Echocardiogram ... thrombolysed with SK ... hemorrhagic pericardial effusion ... #Pericardial #effusion ... POCUS #clinical #cardiology
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 Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
in Anaesthesia ... of blood, pus, effusion ... , e.g. central line ... pericardiocentesis kit (eg ... Anesthesiology #Anesthesia
Accelerated Idioventricular Rhythm (AIVR) on EKG • Regular rhythm with wide. • QRS complexes >120
Rhythm (AIVR) on EKG ... complexes >120 ms ... • Capture and fusion ... AIVR #diagnosis #cardiology ... #EKG #ECG #Electrocardiogram
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
should identify any cause ... surgery related cause ... rate, rhythm, perfusion ... blood gas, 12-lead ECG ... Anesthesiology #Anesthesia
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
arrest where other causes ... chlorhexidine as cause ... as a possible cause ... an adrenaline infusion ... alternate vasopressor (e.g
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework IATROGENIC DISEASE Secondary to invasive cardiac procedures NONIATROGENIC • Malignancy (e.g., metastatic spread:
Hemorrhagic Pericardial Effusions ... • Malignancy (e.g ... OTHER RARE CAUSES ... #Pericardial #Effusion ... Differential #Diagnosis #cardiology
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
in Anaesthesia ... Causes: thrombus ... Consider thrombolysis e.g ... with saline and cover ... Anesthesiology #Anesthesia
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