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anesthesia anesthesiology checklist workup intraoperative cardiology differential treatment clinical criticalcare algorithm hematology echocardiogram endocarditis foamed hyperthermia product reactions syndrome testing
Cardiac Stress Testing Exercise: • Everyone who can exercise should! • They must be able to raise
Cardiac Stress Testing ... production to cause ... : EKG ($), ECHO ... Stress #Testing #cardiology ... #management #diagnosis
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... accumulation of blood ... • Diagnostic ... Plan definitive management ... #Management #Workup
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
Guidelines for Crises ... invasive arterial blood ... consultation with cardiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Aortic Dissection Pearls Aortic dissection is caused by a tear in the tunica intima, the innermost layer
dissection is caused ... disease • Cardiac ... ~60 • Control blood ... Aortic #Dissection #diagnosis ... #management #vascular
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
maintained fever CAUSES ... amphetamines) Toxic: • Radiologic ... • Intracranial blood ... Anesthesia #Checklist #Diagnosis ... #Management #Workup
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
perfusion, recheck blood ... consider: o Cardiac ... Sepsis → 3-14 o Cardiac ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
likely underlying cause ... Consider monitoring cardiac ... cultures if possible (eg ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
❻ If systolic blood ... alternate vasopressor (e.g ... -10 ml clotted blood ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Microbiology: Blood ... Septic Emboli Cause ... • Blood cultures ... ↑ ESR, CRP • EKG ... #management #cardiology
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
in Anaesthesia Causes ... unexplained loss of cardiac ... over 2 h (>65 kg ... Tell surgeon to flood ... Intraoperative #Checklist #Diagnosis
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