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management checklist workup intraoperative cardiology cardiac differential anaesthetic anaphylaxis arrest bradyarrhythmia cooling ecg electrocardiogram hyperthermia ischaemia ischemia local neuroprotection palpitations
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
, particularly ventricular ... hypertension, tachy- or bradycardia ... consultation with cardiology ... Ischemia #Ischaemia #Anesthesiology ... #Checklist #Diagnosis
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
maintained fever CAUSES ... amphetamines) Toxic: • Radiologic ... #Differential #Causes ... #Anesthesiology ... #Diagnosis #Management
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
Consider known drug causes ... (eg. remifentanil ... Anesthesiology # ... #Checklist #Diagnosis ... Management #Workup #Cardiology
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia Signs of severe toxicity: • Sudden alteration in
Guidelines for Crises ... collapse: sinus bradycardia ... , asystole and ventricular ... Anaesthetic #Toxicity #Anesthesiology ... #Checklist #Diagnosis
Cardiac Stress Testing Exercise: • Everyone who can exercise should! • They must be able to raise
production to cause ... Contraindications: - Bradycardia ... Contraindications: Pts with ventricular ... : EKG ($), ECHO ... Stress #Testing #cardiology
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
tachycardia or bradycardia ... alternate vasopressor (e.g ... #Anaphylaxis #Anesthesiology ... #Anesthesia #Intraoperative ... #Checklist #Diagnosis
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
60 (1) Sinus bradycardia ... 200ms from longer pause ... Distal AV block - ventricular ... #Tachycardia #Bradycardia ... #EKG #diagnosis
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
- Differential Diagnosis ... Palpitations Diagnosis ... supraventricular or ventricular ... tachycardia • Ventricular ... #Palpitations #Cardiology
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia Outcome from cardiac arrest is determined by
Guidelines for Crises ... Obtain 12-lead ECG ... and discuss with cardiology ... Cardiac #Arrest #Anesthesiology ... #Checklist #Diagnosis
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