14 results
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
is unconscious, signs ... trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... #Ischaemia #Anesthesiology
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
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
Equivalents on ECG ... J point • De Winter ... deviation) • Acute ischemia ... #Equivalents #ECG ... #EKG #diagnosis
Cardiac Amyloid - Diagnosis, Signs, Symptoms and Management

Clinical Presentation
- exertional dyspnea
- peripheral edema
- exertional syncope
- peripheral
, Symptoms and Management ... despite hx HTN) EKG ... pseudoinfarct pattern (Q-waves ... Diagnosis #Stages #Management ... #Signs #Symptoms
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
Intraoperative Circulatory ... Signs: hypotension ... decreased ETCO2 Symptoms ... Consider thrombolysis e.g ... Embolism #VTE #Anesthesiology
High Central Neuraxial Block - Guidelines for Crises in Anaesthesia
• Can occur with deliberate or accidental
Symptoms are ... that may mimic signs ... Neuraxial #Block #Anesthesiology ... #Anesthesia #Intraoperative ... Checklist #Diagnosis #Management
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
Dehydration • Symptoms ... AKI, acute limb ischemia ... WBC >100k, + lab signs ... unless worrisome EKG ... TLS #diagnosis #management
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
iatrogenic causes, e.g ... pericardiocentesis kit (eg ... examination and vital signs ... Cardiac #Tamponade #Anesthesiology ... #Anesthesia #Intraoperative
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 • Vit B12 - aka cobalamin. Present in foods derived from animal
dietary intake (e.g ... hypoxia and organ ischemia ... (e.g. ... other diagnosis e.g ... Deficiency #diagnosis #management
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
and positioning (e.g ... : o Cardiac ischaemia ... Endocrine cause (eg ... #Differential #Anesthesiology ... #Anesthesia #Intraoperative