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anesthesiology cardiology checklist workup differential intraoperative acute cardiac cardiomyopathy critical cyanosis edema endocarditis evaluation hematology hyperthermia hypoxia ischaemia leukostasis limb
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
Guidelines for Crises ... consultation with cardiology ... #Anesthesia #Intraoperative ... #Checklist #Diagnosis ... #Management #Workup
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
amphetamines) Toxic: • Radiologic ... #Perioperative ... Anesthesiology #Anesthesia ... #Checklist #Diagnosis ... #Management #Workup
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 ... Obtain EKG if: ... medical and surgical management ... stratification #diagnosis
Leukostasis vs Tumor Lysis Syndrome Leukostasis: • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
high WBC count cause ... , dyspnea, +/- CXR ... AKI, acute limb ischemia ... unless worrisome EKG ... Syndrome #TLS #diagnosis
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Cause Injury By ... /ischemic insult ... ↑ ESR, CRP • EKG ... Treat underlying cause ... #management #cardiology
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework NCPE Pathophysiology: Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Causes include: ... level <100 pg/ml EKG ... • Negative for ischemic ... changes CXR: ... • Pulmonary embolism
Acute and Critical Limb Ischemia Critical Limb Ischemia (CLI): • Severe form of PAD that includes limb
11% of all PAD cases ... (ALI): • Rapid ... broadly divided into embolism ... coldness of LE, & paresthesia ... #diagnosis #management
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
blood gas, 12-lead ECG ... o Circulatory embolism ... o Cardiac ischaemia ... Intraoperative #Checklist #Diagnosis ... #Workup #Management
Peripartum Cardiomyopathy (PPCM) What is PPCM? • A form of acute systolic heart failure that develops late in
Pulmonary/amniotic embolism ... Rule out other causes ... congestion on a CXR ... recognition and management ... Cardiomyopathy #Cardiology
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