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diagnosis checklist anesthesiology workup intraoperative symptoms treatment differential algorithm syndrome criticalcare myocarditis perioperative rheumatology sclerosis syncope als amyloidosis amyotrophic anaphylaxis
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
of cardiac ischaemia ... trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... #Cardiac #Ischemia
Note there is ST depression in aVR, a true sign of Left Main occlusion. Many
in aVR, a true sign ... aVR is a good ECG ... sign of left main ... #Clinical #EM #IM ... #Cardiology #EKG
Cardiac Amyloid - Diagnosis, Signs, Symptoms and Management Clinical Presentation - exertional dyspnea - peripheral edema - exertional syncope - peripheral
Cardiac Amyloid ... , Symptoms and Management ... Clinical Presentation ... despite hx HTN) EKG ... #Cardiology #Staging
Bradycardia 1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... worsening brady, Signs ... Chest Pain • ECG ... Connect ECG Leads ... #cardiology
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
39 C this is a clinical ... Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... malignant syndrome (e.g ... hyperthermia crisis (late sign
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
performed) • Clinical ... gallop • Abnormal ECG ... shock, sudden cardiac ... death Management ... #Cardiology
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
iatrogenic causes, e.g ... pericardiocentesis kit (eg ... examination and vital signs ... Plan definitive management ... Anesthesiology #Anesthesia
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Signs: hypotension ... unexplained loss of cardiac ... Consider thrombolysis e.g ... over 2 h (>65 kg ... Anesthesiology #Anesthesia
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
and positioning (e.g ... consider: o Cardiac ... ischaemia → 3-12 ... Endocrine cause (eg ... Checklist #Diagnosis #Management
Checklist Approach to Hypokalemia Consider risk factors for arrhythmia: - EKG changes (especially QT prolongation) - Digoxin
arrhythmia: - EKG ... - Myocardial ischemia ... their validity (e.g ... incongruous with clinical ... context & EKG)
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