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diagnosis management cardiology anesthesiology checklist workup intraoperative pulmonary clinical endocarditis preoperative risk signs stratification symptoms syncope abscess algorithm anaphylaxis arrhythmias
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 ... #Perioperative
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 ... consultation with cardiology
Syncope is a sudden, transient loss of consciousness, which is thought to be secondary to cerebral
be divided into cardiac ... syncope, e.g., ... orthostatic vital sign ... and an initial ECG ... The treatment strategy
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 Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
, e.g. central line ... pericardiocentesis kit (eg ... thoracotomy is a better treatment ... examination and vital signs ... Anesthesiology #Anesthesia
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
of more of the signs ... trolley, anaphylaxis treatment ... require prolonged treatment ... alternate vasopressor (e.g ... as patient is stable
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
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
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