7 results
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
abnormalities (hypo- or hypertension ... Treat haemodynamic instability ... the patient is hypotensive ... Intraoperative #Checklist ... #Diagnosis #Management
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
- Management Checklist ... 20 mg q6hr) - Hypotension ... antiarrhythmics - Ischemic ... #Checklist #CHF ... HeartFailure #Cardiology #Management
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Infarction  Ischemic ...  Hypotension ... Fick calculated cardiac ... IF LVEDP >15 or Cardiac ... DCSI #Initiative #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
Checklist Approach to Hypokalemia

Consider risk factors for arrhythmia:
 - EKG changes (especially QT prolongation)
 - Digoxin
Checklist Approach ... - Myocardial ischemia ... patients (including cardiac ... NPO, or profound shock ... #Hypokalemia #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 ... cause) or septic shock ... Consider monitoring cardiac ... Intraoperative #Checklist ... #Diagnosis #Management