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diagnosis management anesthesiology checklist intraoperative cardiology treatment differential hyperkalemia airway anaphylaxis bradycardia cardiomyopathy cyanosis electrocardiogram elevation embolus evaluation hypoxia increased
Pediatric SVT - Management Algorithm Identify SVT: • HR not variable • Abrupt rate changes • Infants:
• Abrupt rate changes ... : HR > 180bpm ECG ... Monitors, Pads AP Stable ... 0.2 mg/kg Unstable ... supraventricular #tachycardia
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Causes: thrombus ... : hypotension, tachycardia ... Consider thrombolysis e.g ... over 2 h (>65 kg ... Diagnosis #Management #Workup
Hyperkalemia shortens repolarization; changes in the T wave provide the earliest clues to hyperpotassemia. - At
repolarization; changes ... prolonged PR and QT ... #Hyperkalemia #EKG ... #ECG #Changes # ... Progression #Table
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Treatment of Stable ... Control rate (e.g ... Control rate (e.g ... #Stable #NarrowComplex ... management #cardiology #algorithm
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
Guidelines for Crises ... obtain 12-lead ECG ... ); circulatory embolus ... Anesthesiology #Anesthesia ... Diagnosis #Management #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexplained tachycardia ... • Change to inhalational ... alternate vasopressor (e.g ... as patient is stable ... Diagnosis #Management #Workup
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
replaced or its type changed ... If circulation unstable ... blood gas, 12-lead ECG ... o Circulatory embolus ... Diagnosis #Management #Workup
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
Consider known drug causes ... (eg. remifentanil ... , digoxin etc) ... digoxin; calcium channel ... Diagnosis #Management #Workup
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
replaced or its type changed ... If circulation unstable ... blood gas, 12-lead ECG ... o Circulatory embolism ... #Management #Workup
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
functional status - Able ... metabolic equivalent able ... indicated • EKG ... Obtain EKG if: ... Stable patients
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