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checklist anesthesia anesthesiology criticalcare intraoperative treatment algorithm cardiac differential endocarditis myocarditis aecopd arrest biopsy cardiomyopathy chf cooling copd crisis echocardiogram
Approach to ECGs Check - Age, gender, name - 25mm/s; 10mm/mV - 1mm = 40ms; 0.1 mV Rate
Approach to ECGs ... ) - HiPR: AV block ... Short QT <300-360 ms ... #ECG #EKG #diagnosis ... electrocardiogram #cardiology
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
Myocarditis Diagnosis ... performed) • Clinical ... gallop • Abnormal ECG ... Dysrhythmia, heart block ... #Management #Cardiology
Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
endocarditis w/ septic pulmonary ... if suspected (e.g ... (+/- daily EKG) ... of infection (e.g ... #criticalcare #diagnosis
Algorithm for Management of Acute Exacerbation of COPD (AECOPD) Obtain workup for alternate diagnoses and relevant comorbidities:
Algorithm for Management ... AECOPD) Obtain workup ... doppler, CTA • ECG ... of AECOPD: • Clinical ... Exacerbation #treatment #pulmonary
Myocarditis 5 Principles of Myocarditis: 1. Build clinical suspicion 2. Decide on EMBx 3. Manage acute cardiac injury 4. Manage chronic
Build clinical suspicion ... Pericarditis, Tamponade EKG ... Findings: - AV block ... #Myocarditis #diagnosis ... #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 ... Plan definitive management ... PERICARDIOCENTESIS (sub-xiphoid approach ... #Management #Workup
Myasthenic Crisis Checklist - Myasthenia Gravis Evaluation - Chest X-ray and lung ultrasound (exclude other lung
- Infectious workup ... Pyridostigmine - New diagnosis ... oral secretions (e.g ... is the fastest approach ... MyastheniaGravis #Checklist #Management
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
cardiomyopathy (e.g ... hemodynamics (e.g ... LVEF recovery (e.g ... teratogenic GDMT meds (e.g ... #management #cardiology
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Cerebral > Splenic, pulmonary ... Differential Diagnosis ... Endocarditis Diagnosis ... ↑ ESR, CRP • EKG ... #management #cardiology
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
indicated • EKG ... Obtain EKG if: ... Change in clinical ... one post op Cardiology ... stratification #diagnosis
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