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diagnosis workup anesthesiology differential intraoperative criticalcare algorithm causes chf disease heartfailure perioperative rheumatology summary acidosis anaphylaxis arrest behcet biopsy bradycardia
Myocarditis 5 Principles of Myocarditis: 1. Build clinical suspicion 2. Decide on EMBx 3. Manage acute cardiac injury 4. Manage chronic
HF, Cardiogenic shock ... Pericarditis, Tamponade EKG ... Low voltage Treatment ... #diagnosis #management ... #cardiology #summary
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
gallop • Abnormal ECG ... • Cardiogenic shock ... , sudden cardiac ... death Management ... #Cardiology
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Valve Disease, Myocarditis ... Pneumothorax, Cardiac ... Abdominal compartment syndrome ... ) UOP > 0.5 cc/kg ... #management
Approach to Undifferentiated Shock - OnePager Summary Shock occurs when there is inadequate blood flow (CO) &
essential to determine treatment ... LV Failure (MI, myocarditis ... CCB, BB, BRASH syndrome ... Pneumothorax, Cardiac ... cytokine release syndrome
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Treatment depends ... • Serotonin syndrome ... Anesthesiology #Anesthesia ... #Checklist #Diagnosis ... #Management #Workup
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
Intraoperative Cardiac ... consultation with cardiology ... Anesthesiology #Anesthesia ... Intraoperative #Checklist ... #Diagnosis #Management
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... Oliguria • Altered Mental ... telemetry, 12-Lead EKG ... Cardiac surgery? ... #criticalcare #treatment
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
cause) or septic shock ... Check serial lactates ... Consider monitoring cardiac ... Intraoperative #Checklist ... #Diagnosis #Management
Severe Heart Failure & Cardiogenic Shock - Management Checklist Evaluation - EKG & echocardiography
- Management Checklist ... Evaluation - EKG ... Revascularization, treatment ... #HeartFailure #Cardiology ... #Management
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
patient’s underlying medical ... • Check ECG rhythm ... CardiacArrest #Checklist ... Intraoperative #Checklist ... #Diagnosis #Management
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