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diagnosis management anesthesia checklist intraoperative workup clinical echocardiogram pericardial tamponade complex endocarditis a4c acidosis algorithm alternans anaphylaxis arrest bloodloss bradycardia
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework IATROGENIC DISEASE Secondary to invasive cardiac procedures NONIATROGENIC • Malignancy (e.g., metastatic spread:
Hemopericardium)- Differential ... (e.g., metastatic ... OTHER RARE CAUSES ... • PRIMARY Cardiac ... #Diagnosis #cardiology
Massive Pericardial Effusion on Echocardiogram (PLAX and M-Mode) demonstrating ECG alternans motion Massive pericardial effusion, female metastatic
Echocardiogram (PLAX ... demonstrating ECG ... Echocardiogram #malignant ... #clinical #cardiology ... #pocus #PLAX #MMode
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 Short axis of this echo is mesmerizing: Malignant effusion in a young pt. Notice subtle electrical
effusion in a young ... alternans on the ECG ... PericardialEffusion #Clinical #POCUS ... Echocardiogram #PSAX ... ElectricalAlternans #Cardiology
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 Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... of blood, pus, effusion ... tamponade recurs. ❿ Plan ... specialist referral. ⓫ Plan ... #Tamponade #Anesthesiology
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexpected cardiac ... alternate vasopressor (e.g ... • Plan for repeat ... feasible (Box B). ⓭ Plan ... #Anaphylaxis #Anesthesiology
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
rate, rhythm, perfusion ... consider: o Cardiac ... Sepsis → 3-14 o Cardiac ... #Hypotension #Differential ... #Anesthesiology
Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - PLAX Pt sent to ED c intradialytic hypotension.
with Tamponade on POCUS ... Echocardiogram - PLAX ... K 5.9 without EKG ... #Cardiac #Tamponade ... #cardiology
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 Intraoperative Massive Blood Loss - Guidelines for Crises in Anaesthesia Expected or unexpected major haemorrhage ❶ Call for
. ❼ Use rapid infusion ... Discuss management plan ... , coagulation, etc ... haematologist. ⓬ Plan ... BloodLoss #Hemorrhage #Anesthesiology
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
Lactic Acidosis - Differential ... hypoxemia/Sepsis etc ... drugs, seizures, malignancy ... - Cardiac arrest ... failure - Low cardiac
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia Outcome from cardiac arrest is determined by
poor vital organ perfusion ... Obtain 12-lead ECG ... and discuss with cardiology ... develop (Box B). ❾ Plan ... #Arrest #Anesthesiology
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