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diagnosis anesthesia workup intraoperative differential cardiac cardiology ecg ekg electrocardiogram hyperthermia ischemia stemi anaesthetic anaphylaxis block causes central crisis embolism
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... J point • De Winter ... V2 • Wellens sign ... pain • Wellens sign ... leads) #STEMI #Equivalents
Hypotension in Anesthesiology - Differential Diagnosis and Management Initial checklist: - Verify BP (e.g. surgeon
Hypotension in Anesthesiology ... Diagnosis and Management ... Initial checklist ... Check other vital signs ... #Hypotensive #Anesthesiology
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
or R/S>I STEMI Equivalents ... / Don't Miss Signs ... bigger than QRS - deWinter ... T waves - starts ... cardiology #STEMI #Equivalents
Hypertension in Anesthesiology - Differential Diagnosis and Management Initial checklist: - Verify BP (e.g. surgeon
Hypertension in Anesthesiology ... Diagnosis and Management ... Initial checklist ... Check other vital signs ... #Checklist
High Central Neuraxial Block - Guidelines for Crises in Anaesthesia • Can occur with deliberate or accidental
of unrelieved aorto-caval ... that may mimic signs ... Neuraxial #Block #Anesthesiology ... Intraoperative #Checklist ... #Diagnosis #Management
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
hyperthermia crisis (late sign ... Differential #Causes #Anesthesiology ... #Anesthesia #Checklist ... #Diagnosis #Management
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
is unconscious, signs ... depression • T wave ... Ischemia #Ischaemia #Anesthesiology ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Signs: hypotension ... mainstay of initial management ... Embolism #VTE #Anesthesiology ... Intraoperative #Checklist ... #Diagnosis #Management
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia Signs of severe toxicity: • Sudden alteration in
in Anaesthesia Signs ... Anaesthetic #Toxicity #Anesthesiology ... Intraoperative #Checklist ... #Diagnosis #Management
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
examination and vital signs ... Plan definitive management ... Cardiac #Tamponade #Anesthesiology ... Intraoperative #Checklist ... #Diagnosis #Management
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