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diagnosis management anesthesia anesthesiology intraoperative differential echocardiogram tamponade complex effusion hypokalemia pericardial pvcs treatment a4c acidosis anaphylaxis aorticdissection aorticregurgitation arrest
Classic EKG triad of long QT, ST-depression, and PVCs in Hypokalemia Worry about hypokalemia; this patient had
Classic EKG triad ... this patient had cardiac ... LongQTC #PVCs #EKG ... #ECG #Electrocardiogram ... #Cardiology #Clinical
Checklist Approach to Hypokalemia Consider risk factors for arrhythmia: - EKG changes (especially QT prolongation) - Digoxin
arrhythmia: - EKG ... their validity (e.g ... incongruous with clinical ... context & EKG) ... patients (including cardiac
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... consultation with cardiology ... Intraoperative #Checklist
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... , e.g. central line ... pericardiocentesis kit (eg ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
• Check ECG rhythm ... Hypovolaemia Hypo/hyperkalaemia ... CardiacArrest #Checklist ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
reabsorption) Workup ... heparinized tube) • ECG ... only if no clear cause ... line, stabilizes cardiac ... Treatment #potassium #nephrology
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexpected cardiac ... alternate vasopressor (e.g ... an appropriate critical ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
manifestation of cardiac ... arrhythmia syndromes (e.g ... Hypomagnesemia • Hypokalemia ... 300 = NSVT EKG ... #differential #cardiology
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
(eg. remifentanil ... myocardial infarction, hyperkalaemia ... Intraoperative #Checklist ... Diagnosis #Management #Workup ... #Cardiology
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia Outcome from cardiac arrest is determined by
Obtain 12-lead ECG ... and discuss with cardiology ... management in critical ... Intraoperative #Checklist ... Diagnosis #Management #Workup
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