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diagnosis management anesthesia anesthesiology intraoperative differential cardiac perioperative anomalies anomaly arrest bradycardia cardiacarrest congenital cooling cva cyanosis evaluation hyperkalemia hyperthermia
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 ... Intraoperative #Checklist
Causes of Congenital Anomalies - Differential Diagnosis Algorithm Malformation • Embryonic development failure or inadequacy (often multifactorial) Deformation
Causes of Congenital ... normal tissue (e.g ... . ischemia) Association ... • Association (e.g ... #Causes #Peds #
How do you work up an ischemic CVA? A) Initial Evaluation • ABCs • IV access, monitor
How do you work ... Evaluate underlying cause ... Cardioembolic: • ECG ... #CVA #stroke #workup ... #diagnosis #checklist
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
devices, especially infants ... Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... malignant syndrome (e.g ... Diagnosis #Management #Workup
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
and positioning (e.g ... : o Cardiac ischaemia ... (eg steroid dependency ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
system connections intact ... • Check ECG rhythm ... CardiacArrest #Checklist ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
/crush injury, ischemia ... reabsorption) Workup ... heparinized tube) • ECG ... only if no clear cause ... sufficient if intact
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
Consider known drug causes ... (eg. remifentanil ... Intraoperative #Checklist ... Diagnosis #Management #Workup ... #Cardiology
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
blood gas, 12-lead ECG ... o Cardiac ischaemia ... Intraoperative #Checklist ... #Diagnosis #Workup ... #Management #Workup
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
history of: a) Ischemic ... event, follow ACC algorithm ... indicated • EKG ... Obtain EKG if: ... one post op Cardiology
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