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diagnosis anesthesia anesthesiology intraoperative workup cardiology algorithm arrest cardiogenic cooling cyanosis dcsi detroit differential fibrillation hypoxia initiative ischemia neuroprotection sepsis
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
Treat haemodynamic instability ... the patient is hypotensive ... Consider invasive arterial ... 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
Cardiac: • Valvular ... Decompensated HF • New ischemia ... (< 5% pts with afibb ... Hemodynamic instability ... #diagnosis #management
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
Infarction  Ischemic ... Cardiogenic Shock  Hypotension ... Obtain femoral arterial ... Fick calculated cardiac ... DCSI #Initiative #Management
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
consider: o Cardiac ... ischaemia → 3-12 ... Sepsis → 3-14 o Cardiac ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
Severe sepsis (hypotension ... Consider monitoring cardiac ... Discuss ongoing management ... Intraoperative #Checklist ... #Diagnosis #Management
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia Outcome from cardiac arrest is determined by
dysfunction / instability ... ❹ Insert intra-arterial ... ❾ Plan further management ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
help AND check arterial ... ischaemia (or infarction ... ) → 3-12 o Cardiac ... Intraoperative #Checklist ... Diagnosis #Workup #Management
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