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diagnosis anesthesiology intraoperative differential cardiac electrocardiogram perioperative admissions admitting airway anaphylaxis arrest bazetts bloodloss bradycardia cardiacarrest causes cico congenital cooling
Normal QT Interval Measurement General rule: QT interval should be < 1/2 RR interval -
Normal QT Interval ... interval - Only works ... #Measurement #cardiology ... #diagnosis #ecg ... #ekg #electrocardiogram
Approach to ECGs - Syncope Syndromes Electrolytes • ↑K - brady, peak T, wide QRS, no P,
• ↑ Ca - short QT ... • ↓ Ca - long QT ... Syncope #Syndromes #ECG ... #EKG #Checklist ... #diagnosis #cardiology
Congenital Long QT Syndrome: Illness Script Who? - Kids or young adults, usually < 30 - high
Congenital Long QT ... **Get baseline EKG ... - QT prolonging ... post-arrest or very long QTc ... Syndrome #Diagnosis #Cardiology
Checklist Approach to Hypokalemia Consider risk factors for arrhythmia: - EKG changes (especially QT prolongation) - Digoxin
arrhythmia: - EKG ... changes (especially QT ... their validity (e.g ... clinical context & EKG ... #CriticalCare
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... malignant syndrome (e.g ... #Checklist #Diagnosis ... #Management #Workup
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 ... #Diagnosis #Management ... #Workup
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia This is the last resort when
optimal airway management ... airway expertise e.g ... Anesthesiology #Anesthesia ... Intraoperative #Checklist ... #Workup
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Consider thrombolysis e.g ... over 2 h (>65 kg ... Anesthesiology #Anesthesia ... Intraoperative #Checklist ... #Workup
Admitting in the ICU - Checklist VITALS: If bad, stop and go see the patient immediately; you
Admitting in the ICU - Checklist ... hyponatremia, AKI, etc ... /management of shock ... will also get an EKG ... #criticalcare
Intraoperative Massive Blood Loss - Guidelines for Crises in Anaesthesia Expected or unexpected major haemorrhage ❶ Call for
interventional radiology ... , coagulation, etc ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
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