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anesthesia anesthesiology checklist differential intraoperative treatment cardiology ekg electrocardiogram equivalents stemi bells cardiac cobalamin criticalcare cyanosis deficiency hyperkalemia hypotension hypoxia
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
J point • De Winter ... V2 • Wellens sign ... pain • Wellens sign ... deviation) • Acute ischemia ... #EKG #diagnosis
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
is unconscious, signs ... depression • T wave ... ECG as soon as ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
hypoxia and organ ischemia ... lateral columns) • Takes ... consider other diagnosis ... Cobalamin #Deficiency #diagnosis ... #management #nutrition
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
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... Full Set of Vital Signs ... monitor, telemetry, 12 ... -Lead EKG • Ensure
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
/crush injury, ischemia ... reabsorption) Workup ... heparinized tube) • ECG ... bradycardia → sine wave ... ileus/obstruction (ischemia
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
and positioning (e.g ... : o Cardiac ischaemia ... → 3-12 o Anaphylaxis ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
-lead ECG, chest ... o Cardiac ischaemia ... Intraoperative #Checklist #Diagnosis ... #Workup #Management ... #Workup #anesthesia
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