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diagnosis management cardiology treatment anesthesiology checklist pulmonary workup clinical endocarditis intraoperative preoperative risk stratification abscess algorithm anaphylaxis autoimmune bleeding cardiomyopathy
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... malignant syndrome (e.g ... #Perioperative ... #Hyperthermia #Differential
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
is unconscious, signs ... trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... Anesthesiology #Anesthesia
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: ... unless prior heart/lung
Cardiac Stress Testing Exercise: • Everyone who can exercise should! • They must be able to raise
Cardiac Stress Testing ... • They must be able ... production to cause ... arrythmias Diagnostics: EKG ... SPECT ($$$), PET CT
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexpected cardiac ... of more of the signs ... alternate vasopressor (e.g ... as patient is stable ... Anesthesiology #Anesthesia
Lung Abscess - Diagnosis and Management Summary Lung Abscess Etiology: • Necrosis of lung parenchyma by a
seen • Chest CT ... Abscess Differential ... • Vasculitis (e.g ... Abscess #pulmonary #differential ... #causes #management
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework IATROGENIC DISEASE Secondary to invasive cardiac procedures NONIATROGENIC • Malignancy (e.g., metastatic spread:
Hemopericardium)- Differential ... • Malignancy (e.g ... metastatic spread: lung ... OTHER RARE CAUSES ... • PRIMARY Cardiac
Bleeding Risk for Various Invasive/Surgical Procedures Low Risk: • Dental extractions (1 or 2 teeth), endodontic (root
spinal or epidural) anesthesia ... or spinal) • Cardiac ... replacement) • Lung ... #Perioperative ... #Procedures #Table
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
manifestation of cardiac ... arrhythmia syndromes (e.g ... heart disease Causes ... 300 = NSVT EKG ... #cardiology
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework NCPE Pathophysiology: Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Pulmonary Edema - Differential ... Causes include: ... lack of acute cardiac ... level <100 pg/ml EKG ... Transfusion-related acute lung
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