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management anesthesia anesthesiology clinical intraoperative echocardiogram differential ventricular a4c algorithm criticalcare electrocardiogram embolism fibrillation treatment vfib acutepe anaphylaxis aorticdissection aorticregurgitation
Chest Pain - Diagnosis and Workup Algorithm History and Exam Acute life-threatening causes: • Acute myocardial infarction •
life-threatening causes ... Pulmonary embolism • Cardiac ... : • EKG • Bedside ... ultrasound • ... Well score for PE
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... • Diagnostic ... examination and vital signs ... Intraoperative #Checklist ... #Workup
EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
findings in acute PE ... evaluating for other causes ... of cardio-pulmonary ... Embolism #AcutePE #diagnosis ... #cardiology #electrocardiogram
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
is unconscious, signs ... consultation with cardiology ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Cardiac Stress Testing Exercise: • Everyone who can exercise should! • They must be able to raise
Cardiac Stress Testing ... production to cause ... : EKG ($), ECHO ... Nuclear SPECT ($$$), PET ... Stress #Testing #cardiology
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
hyperthermia crisis (late sign ... amphetamines) Toxic: • Radiologic ... Anesthesiology #Anesthesia #Checklist ... #Diagnosis #Management ... #Workup
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... Full Set of Vital Signs ... Setup - Ultrasound ... telemetry, 12-Lead EKG ... Cardiac surgery?
Cannon A waves during AVNRT on Physical Exam In AVNRT, the atria and ventricles contract nearly simultaneously
EKG of the same ... Number of Cannon A per ... are enough to diagnose ... the case as Typical ... PhysicalExam #JVP #Cardiology
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 Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Signs: hypotension ... unexplained loss of cardiac ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
of more of the signs ... alternate vasopressor (e.g ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
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