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management anesthesia checklist intraoperative cardiac cardiology differential hyperkalemia tachycardia anaphylaxis bradyarrhythmia cardiacarrest changes cico cooling criticalcare difficult electrocardiogram inotropes intubate
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
Approach to ECGs ... (4) SA node arrest ... 200ms from longer pause ... bradyarrhythmia #ECG ... #EKG #diagnosis
Hyperkalemia shortens repolarization; changes in the T wave provide the earliest clues to hyperpotassemia. - At
prolonged PR and QT ... and diastolic arrest ... #Diagnosis #Hyperkalemia ... #EKG #ECG #Changes ... #Progression #Table
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
Call for cardiac arrest ... trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... #Management #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
tachycardia or bradycardia ... alternate vasopressor (e.g ... #Anaphylaxis #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
, e.g. central line ... pericardiocentesis kit (eg ... Call for cardiac arrest ... Cardiac #Tamponade #Anesthesiology ... #Management #Workup
Common Vasopressors and Inotropes Norepinephrine (NE) - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
is not desired (e.g ... is not desired (e.g ... effects: Reflex bradycardia ... Vasopressors #Inotropes #comparison ... #table #pharmacology
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
(eg. remifentanil ... , digoxin etc) ... #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
Cardiac Arrest - ... • Check ECG rhythm ... #Differential #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia This is the last resort when
airway expertise e.g ... and then cardiac arrest ... Intubation #Difficult #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia Outcome from cardiac arrest is determined by
Guidelines for Crises ... Obtain 12-lead ECG ... #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
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