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management differential anesthesia checklist intraoperative workup aorta aortic cardiaccta ccta clinical cyanosis dissection evaluation hypotension hypoxia ischaemia palpitations perioperative preop
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
hypertension, tachy- or bradycardia ... symptoms may include chest ... consultation with cardiology ... #Anesthesiology ... Intraoperative #Checklist #Diagnosis
Bradycardia 1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
Bradycardia 1) ... SOB from CHF, Chest ... Ischemia? ... #diagnosis #differential ... #management #cardiology
Cardiac Stress Testing Exercise: • Everyone who can exercise should! • They must be able to raise
Cardiac Stress Testing ... Contraindications: - Bradycardia ... : EKG ($), ECHO ... SPECT ($$$), PET CT ... Stress #Testing #cardiology
Bradycardia - Differential Diagnosis • Cardiac disease: Myocardial ischemia / infarction, Myocarditis, Congenital disorders, Cardiomyopathies,
Bradycardia - Differential ... Diagnosis • Cardiac ... disease: Myocardial ischemia ... #Differential #Diagnosis ... #cardiology
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
Breathing • Check chest ... known drug causes (eg ... #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... Management #Workup #Cardiology
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
EGPA) • Digital ischemia ... (UPC) ratio • Cardiac ... Other tests: • CT ... recent DAN) • EMG ... CT
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
Breathing • Check chest ... consider: o Cardiac ... ischaemia → 3-12 ... #Differential #Anesthesiology ... Intraoperative #Checklist #Diagnosis
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
- Differential Diagnosis ... Palpitations Diagnosis ... exam • 12-lead ECG ... Nonarrhythmic Cardiac ... #Palpitations #Cardiology
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
exam Determine Cardiac ... history of: a) Ischemic ... one post op Cardiology ... postoperative cardiac ... stratification #diagnosis
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
blood gas, 12-lead ECG ... ischaemia (or infarction ... ) → 3-12 o Cardiac ... Hypoxia #Cyanosis #Anesthesiology ... Intraoperative #Checklist #Diagnosis
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