42 results
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Multifocal Atrial ... • Oxygen • Treatment ... Rate control #Multifocal ... #Atrial #Tachycardia ... #EKG #Management
Supraventricular Tachycardia Differential Diagnosis
Sinus Tachycardia
Sinus Node Re-entry Tachycardia
Unifocal Atrial Tachycardia
Junctional Tachycardia
Multifocal Atrial Tachycardia (MAT)

- EB Medicine
Tachycardia Unifocal Atrial ... Junctional Tachycardia Multifocal ... Atrial Tachycardia ... (MAT) - EB Medicine ... Differential #Diagnosis #causes
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... Control rate (e.g ... Treat underlying cause ... Treat underlying cause ... #Tachycardia #Treatment
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
(3) SVTs - atrial ... block (3) Multifocal ... atrial tachycardia ... 200ms from longer pause ... #EKG #diagnosis
TOPCAT - Spironolactone for Heart Failure with Preserved Ejection Fraction

N Engl J Med 2014; 370:1383-1392 https://www.nejm.org/doi/10.1056/NEJMoa1313731

CONCLUSIONS:
ejection fraction, treatment ... cardiovascular causes ... dCHF #Cardiology #EBM ... VisualAbstract #Trial
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
Treatment depends ... maintained fever CAUSES ... Sepsis (→ 3-14) e.g ... #Differential #Causes ... Anesthesiology #Anesthesia #Checklist
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia

Severe sepsis (hypotension persisting after initial fluid challenge of
likely underlying cause ... devices could have caused ... Check serial lactates ... cultures if possible (eg ... Intraoperative #Checklist
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
in Anaesthesia Caused ... , e.g. central line ... pericardiocentesis kit (eg ... thoracotomy is a better treatment ... Intraoperative #Checklist
Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
heart disease Causes ... 300 = NSVT EKG ... capture of the atria ... arrhythmia • Atrial ... more intensive treatment
Increased Airway Pressure - Guidelines for Crises in Anaesthesia

Using these steps from start to end should
should identify any cause ... surgery related cause ... help AND check arterial ... blood gas, 12-lead ECG ... Intraoperative #Checklist