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diagnosis management anesthesiology workup intraoperative differential cardiology cardiac electrocardiogram acidosis anaphylaxis arrest bradycardia cardiacarrest classification cooling criticalcare echocardiogram emergency encephalopathy
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
include: • ST elevation ... trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... Intraoperative #Checklist
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... Diagnosis Framework STEMI ... #ST #STEMI #Segment ... diagnosis #cardiology #ecg ... #ekg #electrocardiogram
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
39 C this is a clinical ... Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... malignant syndrome (e.g ... #Checklist #Diagnosis
Checklist Approach to Hypokalemia Consider risk factors for arrhythmia: - EKG changes (especially QT prolongation) - Digoxin
Checklist Approach ... arrhythmia: - EKG ... changes (especially QT ... their validity (e.g ... context & EKG)
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
, e.g. central line ... help and inform clinical ... pericardiocentesis kit (eg ... a dramatic clinical ... Intraoperative #Checklist
Modified Sgarbossa Positive ECG Interestingly, the ECG for this case report shows development of conventional STEMI criteria
Sgarbossa Positive ECG ... Interestingly, the ECG ... of conventional STEMI ... This ECG is unique ... lead V6 has ST elevation
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
• Check ECG rhythm ... Hypovolaemia Hypo/hyperkalaemia ... CardiacArrest #Checklist ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
Consider known drug causes ... (eg. remifentanil ... , digoxin etc) ... myocardial infarction, hyperkalaemia ... Intraoperative #Checklist
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
arrest where other causes ... alternate vasopressor (e.g ... an appropriate critical ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
Elevation, Lactic ... by excretion (e.g ... its metabolism (e.g ... hypoxemia/Sepsis etc ... Elevation Type
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