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anesthesia anesthesiology checklist differential cardiac cardiology ekg electrocardiogram equivalents stemi treatment airway bells block cardiacarrest causes central cyanosis embolism embolus
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
- Ischemia MI ... = Biomarkers + ECG ... Equivalents / Don't Miss Signs ... bigger than QRS - deWinter ... #ECG #EKG #diagnosis
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
Intraoperative Cardiac ... is unconscious, signs ... depression • T wave ... #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 Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
Intraoperative Anaphylaxis ... of more of the signs ... alternate vasopressor (e.g ... #Checklist #Diagnosis ... #Management #Workup
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Sepsis (→ 3-14) e.g ... Allergic reaction / anaphylaxis ... hyperthermia crisis (late sign ... Anesthesia #Checklist #Diagnosis ... #Management #Workup
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Intraoperative Circulatory ... Signs: hypotension ... Consider thrombolysis e.g ... #Checklist #Diagnosis ... #Management #Workup
Bell's Palsy - Diagnosis and Management Summary - GrepMed Handbook Acute Idiopathic Unilateral Facial Nerve (CN7) Palsy Presentation:
ophthalmoplegia), systemic signs ... , facial nerve ischemia ... and Workup: • ... No additional workup ... inflammatory cause) • EMG
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
Intraoperative Tachycardia ... obtain 12-lead ECG ... amniotic (→ 3-5); anaphylaxis ... #Checklist #Diagnosis ... #Management #Workup
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
: o Cardiac ischaemia ... → 3-12 o Anaphylaxis ... Anesthesiology #Anesthesia #Intraoperative ... #Checklist #Diagnosis ... #Management #Workup
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 #Workup
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