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management anesthesiology checklist intraoperative workup cardiology differential clinical echocardiogram pericardial tamponade a3c acidosis amyloid anaphylaxis arrest blood bradycardia classification complex
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework IATROGENIC DISEASE Secondary to invasive cardiac procedures NONIATROGENIC • Malignancy (e.g., metastatic spread:
- Differential Diagnosis ... • Malignancy (e.g ... OTHER RARE CAUSES ... • PRIMARY Cardiac ... Primary systemic amyloidosis
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
rate, rhythm, perfusion ... consider: o Cardiac ... Anaphylaxis → 3-1 o Cardiac ... Sepsis → 3-14 o Cardiac ... Intraoperative #Checklist #Diagnosis
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... of blood, pus, effusion ... • Call for cardiac ... • Diagnostic ... Anesthesiology #Anesthesia
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexpected cardiac ... surgery. ❷ Call for cardiac ... alternate vasopressor (e.g ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
rate, rhythm, perfusion ... obtain 12-lead ECG ... help; consider electrical ... hypovolaemia; primary cardiac ... Intraoperative #Checklist #Diagnosis
Amyloidosis - Summary Group of disorders associated with extracellular deposition of fibrils formed from low-molecular-weight proteins in
in AA and AL Cardiac ... Persistent pleural effusions ... hypoadrenalism • Nausea ... Amyloid typing Cardiac ... Testing: • EKG
Constrictive Pericarditis on POCUS Echocardiogram - Apical 3-Chamber View Young Lupus patient admitted to hospital new onset
Pericarditis on POCUS ... could pinpoint the cause ... Had diagnostic tap-fever ... Septal bounce, etc ... clinical #cardiology #A3C
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 Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
rate, rhythm, perfusion ... Consider known drug causes ... (eg. remifentanil ... , digoxin etc) ... Intraoperative #Checklist #Diagnosis
Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - A4C Pt sent to ED c intradialytic hypotension.
with Tamponade on POCUS ... Echocardiogram - A4C ... K 5.9 without EKG ... #Cardiac #Tamponade ... #A4C #clinical
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 Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia Outcome from cardiac arrest is determined by
Guidelines for Crises ... poor vital organ perfusion ... Obtain 12-lead ECG ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis
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