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management cardiology anesthesiology checklist workup pulmonary intraoperative neurology cardiac signs symptoms syncope algorithm chf clinical electrocardiogram endocarditis heartfailure hypertension perioperative
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 ... #Diagnosis #Management
Hypertension in Anesthesiology - Differential Diagnosis and Management Initial checklist: - Verify BP (e.g. surgeon
Diagnosis and Management ... - Verify BP (e.g ... Check other vital signs ... vaporizer) Initial treatment ... — 0.1 - 3 mcg/kg
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
is unconscious, signs ... hypertension, tachy- or bradycardia ... trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG
Cardiac Stress Testing Exercise: • Everyone who can exercise should! • They must be able to raise
• They must be able ... production to cause ... Contraindications: - Bradycardia ... : EKG ($), ECHO ... SPECT ($$$), PET CT
Hyponatremia - Differential Diagnosis by Mechanism Decr Blood Pressure (“Decr Effective Circulating Volume”) - Volume depletion
- Malignancy (e.g ... carcinoma of the lung ... CNS pathology (e.g ... #Diagnosis #Table ... #Causes #Sodium
Shock - Differential Diagnosis by Classification Reflex Syncope - Vasovagal syncope • Prolonged standing
Shock - Differential ... Bradyarrhythmias • Sinus bradycardia ... Medication side effect (e.g ... Medication side effect (e.g ... #Table #Causes
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
AV block 1º - long ... 200ms from longer pause ... bradyarrhythmia #ECG ... #EKG #diagnosis ... #differential
Bradycardia 1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... worsening brady, Signs ... Chest Pain • ECG ... Connect ECG Leads ... #diagnosis #differential
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
remember to tailor treatment ... Consider known drug causes ... (eg. remifentanil ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis
Syncope is a sudden, transient loss of consciousness, which is thought to be secondary to cerebral
cardiac syncope, e.g ... syncope (ruling out differential ... orthostatic vital sign ... and an initial ECG ... The treatment strategy
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