7 results
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
Treat haemodynamic instability ... consider need for anticoagulation ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
How do you work up an ischemic CVA?
A) Initial Evaluation
 • ABCs
 • IV access, monitor
How do you work ... +/- TEE (high Afib ... v Holter (r/o Afib ... #CVA #stroke #workup ... #diagnosis #checklist
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 ... #Fibrillation #AFib ... #diagnosis #management
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia
Outcome from cardiac arrest is determined by
dysfunction / instability ... ❾ Plan further management ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
: o Cardiac ischaemia ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
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
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia
Using these steps from start
o Cardiac ischaemia ... Intraoperative #Checklist ... #Diagnosis #Workup ... #Management #Workup