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anesthesia intraoperative workup criticalcare algorithm cardiac differential endocarditis anaesthetic arrest bloodloss bradycardia cardiacarrest central clinica clinical cooling echocardiogram electricity foamed
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
Myocarditis Diagnosis ... Dysrhythmia, heart block ... • Heart failure ... cardiac death Management ... #Management #Cardiology
Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
Endocarditis checklist ... causing heart failure ... telemetry for heart block ... #criticalcare #diagnosis ... #management
Mains Electricity Failure - Guidelines for Crises in Anaesthesia Unexpected total power failure is rare and unpredictable.
Mains Electricity Failure ... Unexpected total power failure ... #Anesthesiology ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
especially in heart failure ... consultation with cardiology ... Ischemia #Ischaemia #Anesthesiology ... Intraoperative #Checklist ... #Diagnosis #Management
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia Signs of severe toxicity: • Sudden alteration in
bradycardia, conduction blocks ... Anaesthetic #Toxicity #Anesthesiology ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Massive Blood Loss - Guidelines for Crises in Anaesthesia Expected or unexpected major haemorrhage ❶ Call for
equipment. ❽ Discuss management ... interventional radiology ... BloodLoss #Hemorrhage #Anesthesiology ... Intraoperative #Checklist ... #Diagnosis #Management
High Central Neuraxial Block - Guidelines for Crises in Anaesthesia • Can occur with deliberate or accidental
Central Neuraxial Block ... Central #Neuraxial #Block ... #Anesthesiology ... Intraoperative #Checklist ... #Diagnosis #Management
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
New-onset Heart Failure ... symptomatic heart failure ... sided IE: heart block ... lesions, heart block ... #management #cardiology
Intraoperative Hypertension - Guidelines for Crises in Anaesthesia Hypertension is most commonly due to inappropriate depth of
alfentanil can be diagnostic ... interaction, renal failure ... #Hypertension #Anesthesiology ... Intraoperative #Checklist ... #Diagnosis #Management
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
surgery; equipment failure ... CardiacArrest #Checklist ... #Differential #Anesthesiology ... Intraoperative #Checklist ... #Diagnosis #Management
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