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anesthesiology checklist intraoperative workup cardiac differential cardiology electrocardiogram equivalents stemi anaphylaxis cobalamin cooling cyanosis deficiency hypotension hypoxia interpretation ischaemia neuroprotection
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
is unconscious, signs ... Call for cardiac arrest ... lead ECG machine ... CM5 continuous ECG ... ECG as soon as
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 Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
iatrogenic causes, e.g ... pericardiocentesis kit (eg ... Call for cardiac arrest ... examination and vital signs ... Anesthesiology #Anesthesia
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. ... e.g. leukemia ... #management #nutrition
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia Outcome from cardiac arrest is determined by
mmHg. ❺ Obtain 12 ... -lead ECG and discuss ... ❾ Plan further management ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
pulse or impending arrest ... pressure, obtain 12 ... -lead ECG if possible ... Intraoperative #Checklist #Diagnosis ... #Management #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 ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
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 ... Anesthesiology #Anesthesia ... #Management #Workup
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
-lead ECG, chest ... o Cardiac ischaemia ... infarction) → 3-12 ... Intraoperative #Checklist #Diagnosis ... #Workup #Management
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