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diagnosis cardiology anesthesiology checklist workup criticalcare intraoperative treatment cardiomyopathy classification overview perioperative peripartum shock aortic bradycardia chf clinical dissection evaluation
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
stimulus, Check pulse ... pressure: • If no pulse ... obtain 12-lead ECG ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
maintained fever CAUSES ... amphetamines) Toxic: • Radiologic ... #Hyperthermia #Differential ... #Causes #Anesthesiology ... #Diagnosis #Management
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 ... #Hypotension #Differential ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Control rate (e.g ... Treat underlying cause ... Treat underlying cause ... #Treatment #management ... #cardiology #algorithm
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
stimulus, check pulse ... • If pulse present ... (eg. remifentanil ... Checklist #Diagnosis #Management ... #Workup #Cardiology
Aortic Dissection Pearls Aortic dissection is caused by a tear in the tunica intima, the innermost layer
dissection is caused ... Marfans, EDS ... Examine for: • Pulse ... deficit/differential ... Dissection #diagnosis #management
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
wide vs. narrow pulse ... oliguria (< 0.5 mL/kg ... Classification #diagnosis #management ... #criticalcare #differential ... #causes #classification
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
wide vs. narrow pulse ... oliguria (< 0.5 mL/kg ... Classification #diagnosis #management ... #criticalcare #differential ... #causes #classification
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
exclude other causes ... Differential Diagnosis ... Management during ... teratogenic GDMT meds ... #cardiology #treatment
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
complications from anesthesia ... event, follow ACC algorithm ... indicated • EKG ... Obtain EKG if: ... medical and surgical management
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