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anesthesiology checklist workup intraoperative cardiology differential electrocardiogram algorithm bradycardia cardiac embolism orthopedics perioperative acutepe anaphylaxis arrest atrial bone bradyarrhythmia complexes
Multifocal Atrial Tachycardia (MAT) • At least 3 different P wave morphologies: • Rate 100-180 • Irregular Etiology
Multifocal Atrial Tachycardia ... Secondary to chronic lung ... #MAT #Cardiology ... #Diagnosis #ECG ... #EKG #Management
EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
EKG in Acute Pulmonary ... evaluating for other causes ... Drive: • Sinus Tachycardia ... Precordial Transition Point ... Embolism #AcutePE #diagnosis
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... malignant syndrome (e.g ... #Checklist #Diagnosis ... #Management #Workup
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
Approach to ECGs ... AV block 1º - long ... 200ms from longer pause ... bradyarrhythmia #ECG ... #EKG #diagnosis
Vascular Joint Pain - Differential Diagnosis Algorithm - Constant Pain (Ischemia) - Acute Onset -
Septic Embolism (e.g ... Fat Embolism (e.g ... Mycotic Aneurysm (e.g ... Vascular #JointPain #MSK ... #Orthopedics #Causes
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
and positioning (e.g ... non-sinus → 2-7 Tachycardia ... (eg steroid dependency ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... Anesthesiology #Anesthesia ... #Management #Workup
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
Guidelines for Crises ... obtain 12-lead ECG ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Causes: thrombus ... : hypotension, tachycardia ... Consider thrombolysis e.g ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis
Intraoperative Laryngospasm and Stridor - Guidelines for Crises in Anaesthesia ❶ Call for help and inform theatre
obstructing the airway, e.g ... over-vigorous attempts at lung ... Consider other causes ... Anesthesiology #Anesthesia ... #Management #Workup
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