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anesthesiology checklist differential intraoperative workup cardiology electrocardiogram stemi cardiac cobalamin cyanosis deficiency evaluation hypotension hypoxia interpretation ischaemia nutrition perioperative preop
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
= Biomarkers + ECG ... or R/S>I STEMI 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
STEMI Equivalents ... on ECG • Conventional ... J point • De Winter ... deviation) • Acute ischemia ... #ECG #EKG #diagnosis
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
is unconscious, signs ... -lead ECG machine ... CM5 continuous ECG ... ECG as soon as ... #Management #Workup
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
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
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
complications from anesthesia ... Highest metabolic equivalent ... history of: a) Ischemic ... indicated • EKG ... Obtain EKG if:
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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