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diagnosis anesthesia anesthesiology intraoperative management differential cardiology algorithm anaphylaxis bradycardia cancer carcinoma cardiac cardiacarrest cyanosis echocardiogram evaluation hypotension hypoxia increased
Chest Pain - Diagnosis and Workup Algorithm History and Exam Acute life-threatening causes: • Acute myocardial infarction •
life-threatening causes ... infarction • Aortic ... Pneumothorax • Pulmonary ... embolism • Cardiac tamponade ... : • EKG • Bedside
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
, e.g. central line ... • Maintain the airway ... pericardiocentesis kit (eg ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
Breathing • Check chest ... and positioning (e.g ... 1 o Cardiac tamponade ... (eg steroid dependency ... Intraoperative #Checklist
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
blood gas, 12-lead ECG ... , chest X-ray. ... o Aspiration, pulmonary ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
• Check ECG rhythm ... Hypothermia Tamponade ... CardiacArrest #Checklist ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
blood gas, 12-lead ECG ... o Cardiac tamponade ... o Aspiration, pulmonary ... Intraoperative #Checklist ... #Diagnosis #Workup
Malignant RV Mass on POCUS Echocardiogram (PLAX) 57yo M with chest pain. Normal work up including
Echocardiogram (PLAX ... ) 57yo M with chest ... Normal work up including ... negative ECG, CXR ... Echocardiogram #clinical
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 Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
Breathing • Check chest ... (eg. remifentanil ... , digoxin etc) ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Maintain the airway ... alternate vasopressor (e.g ... • Plan for repeat ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
indicated • EKG ... Obtain EKG if: ... Change in clinical ... - Cataract Plan ... change CV risk Chest
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