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management cardiology checklist anesthesiology intraoperative treatment cardiac pulmonary criticalcare neurology algorithm chf clinical electrocardiogram endocarditis evaluation heartfailure perioperative renal signs
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 ... #Diagnosis #Management ... #Workup
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 ... #Management #Workup
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
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
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
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
Consider known drug causes ... (eg. remifentanil ... Intraoperative #Checklist #Diagnosis ... #Management #Workup ... #Cardiology
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
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
and positioning (e.g ... (eg steroid dependency ... #Hypotension #Differential ... Anesthesiology #Anesthesia ... #Management #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
tachycardia or bradycardia ... of more of the signs ... alternate vasopressor (e.g ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
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