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management diagnosis anesthesiology intraoperative cardiology differential stable widecomplex anaphylaxis bradycardia cardiac causes complexes electrocardiogram embolism embolus evaluation hyperkalemia hyperthermia hypotension
Pediatric SVT - Management Algorithm Identify SVT: • HR not variable • Abrupt rate changes • Infants:
Management Algorithm ... : HR > 180bpm ECG ... Monitors, Pads AP Stable ... supraventricular #tachycardia ... peds #Pediatric #treatment
Algorithm for the Evaluation of Regular, Wide-Complex Tachycardia 1. aVR: Is the initial deflection in aVR positive?
Algorithm for the ... fusion or capture beats ... Interpretation #ECG ... #EKG #Electrocardiogram ... #Diagnosis #Cardiology
Treatment of Stable Wide-Complex Tachycardia Regular • If ventricular tachycardia or uncertain rhythm: -
Treatment of Stable ... cardioversion • If known SVT ... nodal agents (e.g ... #Treatment #management ... #cardiology #algorithm
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Treatment of Stable ... Control rate (e.g ... Control rate (e.g ... #Treatment #management ... #cardiology #algorithm
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 ... Intraoperative #Checklist
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Treatment depends ... Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... malignant syndrome (e.g ... #Management #Workup
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
remember to tailor treatment ... symmetry, rate, breath ... obtain 12-lead ECG ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
: hypotension, tachycardia ... Consider thrombolysis e.g ... Anesthesiology #Anesthesia ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
arrhythmia syndromes (e.g ... EKG Findings ... Supraventricular tachycardia ... more intensive treatment ... #differential #cardiology
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 ... Endocrine cause (eg ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
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