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management diagnosis cardiology anesthesiology intraoperative workup clinical criticalcare differential evaluation foamed heartfailure widecomplex anaphylaxis biopsy bradycardia cardiac cardiogenic cardiomyopathy complexes
Pediatric SVT - Management Algorithm Identify SVT: • HR not variable • Abrupt rate changes • Infants:
: HR > 180bpm ECG ... Monitors, Pads AP Stable ... 0.2 mg/kg Unstable ... supraventricular #tachycardia ... peds #Pediatric #treatment
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 ... cause #Stable ... #cardiology #algorithm
Treatment of Stable Wide-Complex Tachycardia Regular • If ventricular tachycardia or uncertain rhythm: -
Treatment of Stable ... cardioversion • If known SVT ... nodal agents (e.g ... irregular protocol #Stable ... #cardiology #algorithm
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
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 Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
Tachycardia in ... remember to tailor treatment ... symmetry, rate, breath ... obtain 12-lead ECG ... Intraoperative #Checklist
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
Myocarditis 5 Principles of Myocarditis: 1. Build clinical suspicion 2. Decide on EMBx 3. Manage acute cardiac injury 4. Manage chronic
Treat myocarditis ... Fulminant: - Acute HF ... Pericarditis, Tamponade EKG ... Low voltage Treatment ... diagnosis #management #cardiology
Severe Heart Failure & Cardiogenic Shock - Management Checklist Evaluation - EKG & echocardiography
Evaluation - EKG ... Revascularization, treatment ... Nephrotoxins (e.g ... channel blocker (eg ... #CHF #Shock #Cardiogenic
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexplained tachycardia ... Give drugs to treat ... alternate vasopressor (e.g ... as patient is stable ... Intraoperative #Checklist
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