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anesthesia anesthesiology checklist intraoperative workup differential cardiology treatment clinical crisis nephrology pericardial pulmonary renal tamponade acidosis algorithm amiodarone anaphylaxis arrest
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework IATROGENIC DISEASE Secondary to invasive cardiac procedures NONIATROGENIC • Malignancy (e.g., metastatic spread:
- Differential Diagnosis ... NONIATROGENIC • Malignancy ... (e.g., metastatic ... OTHER RARE CAUSES ... • PRIMARY Cardiac
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
of blood, pus, effusion ... tamponade recurs. ❿ Plan ... definitive management ... specialist referral. ⓫ Plan ... #Management #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
alternate vasopressor (e.g ... • Plan for repeat ... feasible (Box B). ⓭ Plan ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - PLAX Pt sent to ED c intradialytic hypotension.
with Tamponade on POCUS ... Echocardiogram - PLAX ... K 5.9 without EKG ... #Cardiac #Tamponade ... #PLAX #clinical
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 Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
rate, rhythm, perfusion ... consider: o Cardiac ... Sepsis → 3-14 o Cardiac ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
- Differential Diagnosis ... / hypoxemia -> focus ... drugs, seizures, malignancy ... - Cardiac arrest ... failure - Low cardiac
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
Consider monitoring cardiac ... cultures if possible (eg ... plan with intensive ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Malignant Hyperthermia Crisis - Guidelines for Crises in Anaesthesia Unexplained increase in ETCO2 AND tachycardia AND increased
Malignant Hyperthermia ... dantrolene and cardiac ... see Box D). ⓭ Plan ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Non-Infectious (NTBE): • Malignancy ... : • New cardiac ... Septic Emboli Cause ... ↑ ESR, CRP • EKG ... #management #cardiology
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
(UPC) ratio • Cardiac ... LVEF, pericardial effusion ... recent DAN) • EMG ... Goodpasture's cause ... #management #treatment
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