22 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Algorithm History ... life-threatening causes ... • Pulmonary embolism ... • Cardiac tamponade ... : • EKG • Bedside
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
in Anaesthesia Causes ... unexplained loss of cardiac ... Consider thrombolysis e.g ... #Anesthesiology ... #Workup
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
arrest trolley ... consultation with cardiology ... Ischemia #Ischaemia #Anesthesiology ... Checklist #Diagnosis #Management ... #Workup
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... arrest trolley ... Plan definitive management ... #Tamponade #Anesthesiology ... #Workup
Cardiac Arrest - Guidelines for Crises in Anaesthesia

The probable cause is one or more of: something
Cardiac Arrest - ... • Check ECG rhythm ... Anaphylaxis (→ 3-1) Embolism ... #Differential #Anesthesiology ... #Workup
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia
Outcome from cardiac arrest is determined by
Obtain 12-lead ECG ... and discuss with cardiology ... ❾ Plan further management ... #Arrest #Anesthesiology ... #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
• Unexplained hypotension
• Unexplained bronchospasm (wheeze may be absent
arrest trolley, ... alternate vasopressor (e.g ... #Anaphylaxis #Anesthesiology ... Checklist #Diagnosis #Management ... #Workup
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
: • New cardiac ... ↑ ESR, CRP • EKG ... Treat underlying cause ... Endocarditis #diagnosis #management ... #cardiology
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia
Signs of severe toxicity:
 • Sudden alteration in
problem. ❸ Call for cardiac ... arrest trolley ... Anaesthetic #Toxicity #Anesthesiology ... Checklist #Diagnosis #Management ... #Workup
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
consider: o Cardiac ... Sepsis → 3-14 o Cardiac ... #Differential #Anesthesiology ... Checklist #Diagnosis #Management ... #Workup