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diagnosis anesthesia checklist intraoperative cardiology ekg electrocardiogram equivalents hypotension stemi anaphylaxis block cardiac causes central embolism embolus high hyperthermia interpretation
Hypotension in Anesthesiology - Differential Diagnosis and Management Initial checklist: - Verify BP (e.g. surgeon
Hypotension in Anesthesiology ... - Differential ... - Verify BP (e.g ... Check other vital signs ... #Hypotensive #Anesthesiology
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
Approach to ECGs ... - Ischemia MI ... Equivalents / Don't Miss Signs ... bigger than QRS - deWinter ... Interpretation #differential
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
is unconscious, signs ... the patient is hypotensive ... #Ischaemia #Anesthesiology ... Checklist #Diagnosis #Management ... #Workup
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
Equivalents on ECG ... J point • De Winter ... V2 • Wellens sign ... deviation) • Acute ischemia ... #differential #
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
hyperthermia crisis (late sign ... #Hyperthermia #Differential ... #Causes #Anesthesiology ... Checklist #Diagnosis #Management ... #Workup
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
: o Cardiac ischaemia ... #Differential # ... Anesthesiology # ... Checklist #Diagnosis #Management ... #Workup
High Central Neuraxial Block - Guidelines for Crises in Anaesthesia • Can occur with deliberate or accidental
• Hypotension ... that may mimic signs ... Neuraxial #Block #Anesthesiology ... Checklist #Diagnosis #Management ... #Workup
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Signs: hypotension ... Consider thrombolysis e.g ... mainstay of initial management ... Embolism #VTE #Anesthesiology ... #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
of more of the signs ... alternate vasopressor (e.g ... #Anaphylaxis #Anesthesiology ... Checklist #Diagnosis #Management ... #Workup
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