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management anesthesiology checklist intraoperative workup cardiology clinical echocardiogram differential pericardial tamponade malignant mmode abdominal acidosis alternans anaphylaxis arrest bloodloss bradycardia
Massive Pericardial Effusion on Echocardiogram (PLAX and M-Mode) demonstrating ECG alternans motion Massive pericardial effusion, female metastatic
Massive Pericardial Effusion ... Echocardiogram (PLAX ... demonstrating ECG ... clinical #cardiology #pocus ... #PLAX #MMode #electrical
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 Short axis of this echo is mesmerizing: Malignant effusion in a young pt. Notice subtle electrical
mesmerizing: Malignant effusion ... Notice subtle electrical ... alternans on the ECG ... PericardialEffusion #Clinical #POCUS ... Echocardiogram #PSAX
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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 ... Anesthesiology #Anesthesia
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
obtain 12-lead ECG ... help; consider electrical ... hypovolaemia; primary cardiac ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis
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 ... Intraoperative #Checklist #Diagnosis
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 ... Intraoperative #Checklist #Diagnosis
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 ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia Outcome from cardiac arrest is determined by
poor vital organ perfusion ... Obtain 12-lead ECG ... develop (Box B). ❾ Plan ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
Consider monitoring cardiac ... cultures if possible (eg ... ongoing management plan ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis
Tamponade is paradoxical RV collapse during diastole. Sometimes it’s hard to tell if that’s happening by
better obviate the cardiac ... cycle (in lieu of ECG ... #Tamponade #PLAX ... Echocardiogram #POCUS ... #Pericardial #Effusion
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