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diagnosis management anesthesiology cardiology differential workup ekg intraoperative electrocardiogram equivalents perioperative cardiac cardiogenic cyanosis dcsi detroit evaluation hyperthermia hypotension hypoxia
ST segment elevation in acute myocardial ischemia ST segment elevations with straight (horizontal, upsloping or downsloping) or
acute myocardial ischemia ... acute transmural ischemia ... by ischemia (Figure ... probability of ischemia ... #ECG #EKG #STEMI
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
Intraoperative Cardiac Ischaemia ... of cardiac ischaemia ... factors for cardiac ischaemia ... possible. ❺ If ischaemia ... #Cardiac #Ischemia
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
- Ischemia MI ... Equivalents / Don't Miss Signs ... of Ischemia - ... Wong @mchlwng #Ischemia ... electrocardiogram #cardiology
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
maintained fever CAUSES ... hyperthermia crisis (late sign ... amphetamines) Toxic: • Radiologic ... Anesthesiology #Anesthesia ... #Checklist #Diagnosis
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 ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... Infarction  Ischemic ... Symptoms  EKG ... evidence of AMI (STEMI ... Cardiogenic #Shock #Algorithm
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
V2 • Wellens sign ... pain • Wellens sign ... deviation) • Acute ischemia ... #Equivalents #ECG ... #differential #cardiology
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
in Anaesthesia ... blood gas, 12-lead ECG ... o Cardiac ischaemia ... Intraoperative #Checklist ... Management #Workup #anesthesia
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
complications from anesthesia ... history of: a) Ischemic ... event, follow ACC algorithm ... Obtain EKG if: ... one post op Cardiology
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