15 results
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
Intraoperative Cardiac ... Call for cardiac ... Treat haemodynamic instability ... 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
Hepatorenal Syndrome - Diagnosis and Management Summary
Who gets HRS?
 • Decompensated cirrhosis
 • Typically with existing
Diagnosis and Management ... existing ascites • HypoNa ... circulatory overload, CV ischemia ... • Maintains cardiac ... HRS #Diagnosis #Management
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
coma - Pulm: Hypoxia ... AKI, acute limb ischemia ... lethargy, hematuria, cardiac ... with tetany or cardiac ... TLS #diagnosis #management
Checklist Approach to Hypokalemia

Consider risk factors for arrhythmia:
 - EKG changes (especially QT prolongation)
 - Digoxin
Checklist Approach ... - Myocardial ischemia ... patients (including cardiac ... Critical Care #Checklist ... #Hypokalemia #Management
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia
Outcome from cardiac arrest is determined by
dysfunction / instability ... circulation (ROSC), inability ... ❾ Plan further management ... Intraoperative #Checklist ... #Diagnosis #Management
Cardiac Arrest - Guidelines for Crises in Anaesthesia

The probable cause is one or more of: something
Cardiac Arrest - ... 4 H’s, 4 T’s: Hypoxia ... CardiacArrest #Checklist ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
, tachycardia, hypoxemia ... unexplained loss of cardiac ... mainstay of initial management ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia
Using these steps from start
embolism → 3-5 o Cardiac ... ischaemia (or infarction ... ) → 3-12 o Cardiac ... Intraoperative #Checklist ... Diagnosis #Workup #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