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anesthesia anesthesiology checklist intraoperative differential algorithm bradycardia cardiac criticalcare ecg electrocardiogram treatment anaphylaxis arrest bradyarrhythmia clinica clinical complexes cooling echocardiogram
Supraventricular Tachycardia (SVT) - Differential Diagnosis Framework and Management Regular SVT: Sinus Tachycardia, AVNRT, AVRT, Atrial Flutter,
- Differential Diagnosis ... AFIb w/ variable block ... semi-recumbent position 3) Ask ... #Differential #Diagnosis ... #Management #cardiology
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
Myocarditis Diagnosis ... Unexplained sinus tachycardia ... gallop • Abnormal ECG ... Dysrhythmia, heart block ... #Management #Cardiology
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
(1) Sinus tachycardia ... Multifocal atrial tachycardia ... 200ms from longer pause ... #EKG #diagnosis ... electrocardiogram #cardiology
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
effects of neuraxial block ... and positioning (e.g ... non-sinus → 2-7 Tachycardia ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
- Differential Diagnosis ... Palpitations Diagnosis ... exam • 12-lead ECG ... #Palpitations #Cardiology ... #Differential #Diagnosis
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
heart disease Causes ... Bundle branch block ... 300 = NSVT EKG ... Differential Diagnosis ... #differential #cardiology
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
in Anaesthesia Causes ... : hypotension, tachycardia ... over 2 h (>65 kg ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
Intraoperative Tachycardia ... Guidelines for Crises ... obtain 12-lead ECG ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexplained tachycardia ... as a possible cause ... alternate vasopressor (e.g ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
Guidelines for Crises ... CM5 continuous ECG ... consultation with cardiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
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