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diagnosis cardiology anesthesia anesthesiology cardiothoracic checklist chf criticalcare differential dissection embolism embolus endocarditis evaluation foamed freewall heartfailure icu perioperative pharmacology
Aortic Dissection Pearls Aortic dissection is caused by a tear in the tunica intima, the innermost layer
disease • Cardiac ... surgery/catheterization ... BP • New AR murmur ... opiates • Control heart ... Dissection #diagnosis #management
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Intraoperative Circulatory ... unexplained loss of cardiac ... consult vascular surgeon ... • “Mill wheel” murmur ... below level of heart
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
irregular rhythm, new murmur ... event, follow ACC algorithm ... Change in clinical ... risk (>5%): - Aortic ... medical and surgical management
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
CA • Involves aortic ... murmur • Valvular ... Antibiotics • Surgery ... Viridans Surgery ... Endocarditis #diagnosis #management
Intraoperative Cardiac Free Wall Rupture Free wall rupture...yes we can save them Following a syncope event, a 72-y
Intraoperative Cardiac ... ANGIO ruled out aortic ... accumulating, the heart ... commenced and the heart ... #surgery #clinical
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 It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Decompensated Heart ... Crackles/Rales on auscultation ... Cardiac cath if ... #differential #algorithm ... #management #cardiology
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