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diagnosis anesthesiology workup intraoperative differential cardiac cardiology ekg electrocardiogram ischemia stemi anaphylaxis block causes central embolism embolus high hypertension hyperthermia
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
Approach to ECGs ... or R/S>I STEMI Equivalents ... / Don't Miss Signs ... bigger than QRS - deWinter ... cardiology #STEMI #Equivalents
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
Hypertension in Anesthesiology - Differential Diagnosis and Management Initial checklist: - Verify BP (e.g. surgeon
Diagnosis and Management ... Initial checklist ... Check other vital signs ... - Increase anesthetic ... #Checklist
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Sepsis (→ 3-14) e.g ... hyperthermia crisis (late sign ... Anesthesiology #Anesthesia ... #Checklist #Diagnosis ... #Management #Workup
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
is unconscious, signs ... depression • T wave ... Anesthesiology #Anesthesia ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Signs: hypotension ... Consider thrombolysis e.g ... Anesthesiology #Anesthesia ... Intraoperative #Checklist ... #Diagnosis #Management
High Central Neuraxial Block - Guidelines for Crises in Anaesthesia • Can occur with deliberate or accidental
of unrelieved aorto-caval ... that may mimic signs ... Anesthesiology #Anesthesia ... 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 ... Anesthesiology #Anesthesia ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
of more of the signs ... alternate vasopressor (e.g ... Anesthesiology #Anesthesia ... Intraoperative #Checklist ... #Diagnosis #Management
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