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diagnosis anesthesia anesthesiology intraoperative cardiology criticalcare differential treatment pericardial pocus tamponade algorithm shock causes chf complex crisis foamed heartfailure hyperthermia
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
CM5 continuous ECG ... Obtain a 12-lead ECG ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
performed) • Clinical ... gallop • Abnormal ECG ... , echocardiogram ... shock, sudden cardiac ... death Management
Checklist Approach to Hypokalemia Consider risk factors for arrhythmia: - EKG changes (especially QT prolongation) - Digoxin
Checklist Approach ... - Myocardial ischemia ... incongruous with clinical ... patients (including cardiac ... #Hypokalemia #Management
Severe Heart Failure & Cardiogenic Shock - Management Checklist Evaluation - EKG & echocardiography
Cardiogenic Shock - Management ... Checklist Evaluation ... edema - Large effusion ... antiarrhythmics - Ischemic ... cardiogenic shock #Checklist
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
of blood, pus, effusion ... Plan definitive management ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... Consider IL NS/LR infusion ... telemetry, 12-Lead EKG ... and Survey 4) Workup ... Cardiac surgery?
Clinical Management for Three Common Causes of Shock HEMORRHAGIC SHOCK • Ensure adequate ventilation and oxygenation.
Clinical Management ... when possible (eg ... Ameliorate increased work ... oxygenation; remove work ... #Shock #Management
Candidemia Workup and Management - IDSA Guidelines 1) Antibiotics • Empiric: Echinocandins (e.g. micafungin) for most patients
Candidemia Workup ... and Management ... Echinocandins (e.g ... involvement • Cardiac ... or TEE unless clinical
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
rate, rhythm, perfusion ... ischaemia → 3-12 ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
EGPA) • Digital ischemia ... mononeuritis multiplex WORKUP ... o infection • Echocardiogram ... LVEF, pericardial effusion ... differential #diagnosis #management
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