13 results
diagnosis management anesthesiology intraoperative workup cardiology differential perioperative preoperative stratification algorithm anaphylaxis bleeding bradycardia cardiomyopathy catheterization cathlab complexes crisis embolism
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
pre-existing history or risk ... trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... Intraoperative #Checklist
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 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 ... hypovolaemia; primary cardiac ... Intraoperative #Checklist
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 ... analgesia (consider risk ... Endocrine cause (eg ... Intraoperative #Checklist
Inpatient Cath Lab Indications Cath Lab ASAP: STEMI NSTEMI: 1. Unstable/cardiogenic shock 2. Severe LV dysfunction or 3. Recurrent/persistent rest angina despite
Recurrent/persistent rest ... , +ECG changes or ... Rx: NSTEMI/UA: stable ... #Indications #Cardiac ... catheterization #cardiology
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
: hypotension, tachycardia ... unexplained loss of cardiac ... Consider thrombolysis e.g ... undelivered • Treat ... Intraoperative #Checklist
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
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
manifestation of cardiac ... arrhythmia syndromes (e.g ... 300 = NSVT EKG ... tachyarrhythmias High-risk ... more intensive treatment
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
complications from anesthesia ... exam Determine Cardiac ... indicated • EKG ... Obtain EKG if: ... postoperative cardiac
Malignant Hyperthermia Crisis - Guidelines for Crises in Anaesthesia Unexplained increase in ETCO2 AND tachycardia AND increased
increase in ETCO2 AND tachycardia ... Temperature rise ... ❹ Call for MH treatment ... dantrolene and cardiac ... Intraoperative #Checklist
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