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management anesthesiology cardiology checklist intraoperative workup anaphylaxis differential evaluation ischaemia ischemia perioperative preop preoperative risk stratification stress testing
Cardiac Stress Testing Exercise: • Everyone who can exercise should! • They must be able to raise
Cardiac Stress Testing ... • They must be able ... Contraindications: - Bradycardia ... : EKG ($), ECHO ... MRI ($$$$) CORE IM
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
hypertension, tachy- or bradycardia ... trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... Intraoperative #Checklist #Diagnosis
Bradycardia - Differential Diagnosis • Cardiac disease: Myocardial ischemia / infarction, Myocarditis, Congenital disorders, Cardiomyopathies,
Bradycardia - Differential ... Diagnosis • Cardiac ... • Infections (e.g ... Hospital of Baltimore IM ... #cardiology
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
tachycardia or bradycardia ... alternate vasopressor (e.g ... as patient is stable ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
complications from anesthesia ... exam Determine Cardiac ... indicated • EKG ... Obtain EKG if: ... stratification #diagnosis
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