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management anesthesia anesthesiology checklist intraoperative cardiology differential electrocardiogram ecg stemi equivalents treatment acutepe anaphylaxis complexes criticalcare cyanosis elevation embolus hyperkalemia
EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
other causes of cardio-pulmonary ... Drive: • Sinus Tachycardia ... • Dominant R Wave ... leads) RV Ischemia ... #diagnosis #cardiology
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
Approach to ECGs - Ischemia ... Equivalents / Don't Miss Signs ... of Ischemia - ... bigger than QRS - deWinter ... #ECG #EKG #diagnosis
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
is unconscious, signs ... of cardiac ischaemia ... depression • T wave ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... V2 • Wellens sign ... pain • Wellens sign ... deviation) • Acute ischemia ... #EKG #diagnosis
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Signs: hypotension ... , tachycardia, hypoxemia ... unexplained loss of cardiac ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
- Differential Diagnosis ... STE: "Pardee's sign ... complex Pulmonary Embolism ... block; and sinus tachycardia ... (Eiffel Tower sign
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
manifestation of cardiac ... • Myocardial ischemia ... • Underlying ischemic ... 300 = NSVT EKG ... Differential Diagnosis
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... shock state) • Tachycardia ... Full Set of Vital Signs ... telemetry, 12-Lead EKG ... Cardiac surgery?
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
obtain 12-lead ECG ... hypovolaemia; primary cardiac ... ); circulatory embolus ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
non-sinus → 2-7 Tachycardia ... consider: o Cardiac ... ischaemia → 3-12 ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
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