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diagnosis management differential endocarditis anesthesia anesthesiology criticalcare heartfailure intraoperative workup algorithm cardiac cardiogenic clinical evaluation foamed icu infectiousdiseases ischaemia ischemia
Bradycardia 1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... AMS, SOB from CHF ... ECG: Bad block? ... Connect ECG Leads ... differential #management #cardiology
Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
CT scan, if suspect ... if suspected (e.g ... Persistent fever, positive ... block (+/- daily EKG ... of infection (e.g
Severe Heart Failure & Cardiogenic Shock - Management Checklist Evaluation - EKG & echocardiography
Evaluation - EKG ... Nephrotoxins (e.g ... channel blocker (eg ... #CHF #Shock #Cardiogenic ... #HeartFailure #Cardiology
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 ... consultation with cardiology ... Intraoperative #Checklist
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
Airway • Check position ... Breathing • Check chest ... known drug causes (eg ... Intraoperative #Checklist ... Management #Workup #Cardiology
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... Valvular disease (e.g ... Pheochromocytoma • Pulmonary ... disease • Severe bradycardia ... #Palpitations #Cardiology
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... disease b) CHF ... indicated • EKG ... Obtain EKG if: ... one post op Cardiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
to be in ADHF starts ... with presence of pulmonary ... ECG is vital while ... algorithm #management #cardiology ... #heartfailure #chf
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Blood cultures are positive ... Cerebral > Splenic, pulmonary ... nodes • Roth’s spots ... ↑ ESR, CRP • EKG ... diagnosis #management #cardiology
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
cases Culture Positive ... Cerebral > Splenic, Pulmonary ... nodes • Roth’s spots ... ↑ ESR, CRP • EKG ... Differential #Diagnosis #cardiology
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