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diagnosis management anesthesiology checklist intraoperative differential treatment clinical anaphylaxis arrest bradycardia chf complexes cooling criticalcare echocardiogram embolism embolus emergency evaluation
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 ... consultation with cardiology ... Anesthesiology #Anesthesia
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
and positioning (e.g ... non-sinus → 2-7 Tachycardia ... (eg steroid dependency ... Anesthesiology #Anesthesia ... Diagnosis #Management #Workup
WOBBLER for ECG assessment in Syncope W - Wolff Parkinson White O - Obstructed AV
WOBBLER for ECG ... , can be caused ... associated with sudden cardiac ... #EKG #ECG #Diagnosis ... #Cardiology
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Control rate (e.g ... Treat underlying cause ... Control rate (e.g ... #management #cardiology ... #algorithm
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
Intraoperative Tachycardia ... Guidelines for Crises ... obtain 12-lead ECG ... hypovolaemia; primary cardiac ... Diagnosis #Management #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexplained tachycardia ... alternate vasopressor (e.g ... as patient is stable ... Anesthesiology #Anesthesia ... Diagnosis #Management #Workup
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Causes: thrombus ... : hypotension, tachycardia ... unexplained loss of cardiac ... Consider thrombolysis e.g ... Diagnosis #Management #Workup
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... Valvular disease (e.g ... consciousness • Near-syncope ... , or syncope: Hemodynamically ... #Palpitations #Cardiology
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
manifestation of cardiac ... arrhythmia syndromes (e.g ... ., long QT syndrome ... 300 = NSVT EKG ... #differential #cardiology
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
Consider known drug causes ... (eg. remifentanil ... , digoxin etc) ... Diagnosis #Management #Workup ... #Cardiology
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