11 results
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
Treat haemodynamic instability ... consider need for anticoagulation ... consultation with cardiology ... Intraoperative #Checklist ... #Diagnosis #Management
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
Decompensated HF • New ischemia ... (< 5% pts with afibb ... Hemodynamic instability ... #diagnosis #management ... #cardiology
Newly Diagnosed Atrial Fibrillation - Management Algorithm

 • Rate Control
 • Rhythm Control
 • Anticoagulation

Matthew Ho,
Fibrillation - Management ... Rhythm Control • Anticoagulation ... Fibrillation #RVR #Management ... #Algorithm #cardiology ... #AFib
Bradycardia - Differential Diagnosis Framework and Management
Narrow Complex Bradycardia:
 • Regular: Sinus Bradycardia, AFib w/ AV
Framework and Management ... Sinus Arrest, AFib ... Depending on degree of instability ... epinephrine 4) Page Cardiology ... #cardiology #criticalcare
Atrial Fibrillation Overview

Symptoms:
Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

1. Why?
Cardiac:
• Valvular heart disease
•
Decompensated HF • New ischemia ... Anticoagulation ... #Fibrillation #Cardiology ... #Management #Algorithm
Anticoagulant Therapy after PCI (patients with AFib)
Dual-Therapy Preferred:
 • Triple therapy = increased bleeding
(patients with AFib ... risk outweighed ischemic ... Triple #therapy #anticoagulation ... #pharmacology #management ... #cardiology
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... Checklist Evaluation ... antiarrhythmics - Ischemic ... #HeartFailure #Cardiology ... #Management
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia
Outcome from cardiac arrest is determined by
dysfunction / instability ... and discuss with cardiology ... ❾ Plan further management ... Intraoperative #Checklist ... #Diagnosis #Management
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Early embolic/ischemic ... cause + Systemic anticoagulation ... Endocarditis #diagnosis #management ... #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
history of: a) Ischemic ... Anticoagulation ... one post op Cardiology ... medical and surgical management