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diagnosis anesthesia anesthesiology workup cardiology differential intraoperative aortic cardiac cardiomyopathy clinical criticalcare dissection echocardiogram evaluation foamed hyperkalemia hyperthermia hyponatremia hypotension
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
Preoperative Risk ... history of: a) Ischemic ... event, follow ACC algorithm ... Cataract Plan for Meds ... medical and surgical management
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
Guidelines for Crises ... pre-existing history or risk ... especially in heart ... Intraoperative #Checklist ... #Diagnosis #Management
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Treatment depends ... • Excessive heat ... anaesthesia #Perioperative ... Anesthesiology #Anesthesia #Checklist ... #Diagnosis #Management
Emergency Management of Hyperkalemia in Adults Assess Patient - Airway Breathing Circulation Disability Exposure (ABCDE) Approach •
Emergency Management ... mmol/L - Consider cause ... ECG and rate of rise ... indicated Protect the Heart ... #algorithm #treatment
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
• If heart rate ... analgesia (consider risk ... : o Cardiac ischaemia ... Intraoperative #Checklist ... #Diagnosis #Management
Aortic Dissection Pearls Aortic dissection is caused by a tear in the tunica intima, the innermost layer
dissection is caused ... Assess for high risk ... deficit • Shock Treatment ... opiates • Control heart ... Dissection #diagnosis #management
Management of Hyponatremia Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125 Give
Management of Hyponatremia ... doses) • Target rise ... Restriction for all • Heart ... SIADH — look for cause ... #algorithm #treatment
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
exclude other causes ... ) • Valvular heart ... • Hypertensive heart ... teratogenic GDMT meds ... #cardiology #treatment
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
cannot, coronary ischemia ... treat the primary cause ... #diagnosis #algorithm ... echocardiogram #management ... criticalcare #foamed #treatment
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