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diagnosis anesthesia anesthesiology workup differential cardiology bradycardia criticalcare airway anaphylaxis arrest cardiacarrest cardiothoracic clinical cooling crisis cyanosis embolism embolus endocarditis
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
Intraoperative Cardiac ... symptoms may include chest ... trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG
Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
TTE +/- TEE) • Chest ... CT scan, if suspect ... if suspected (e.g ... block (+/- daily EKG ... of infection (e.g
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
intolerance • Chest ... gallop • Abnormal ECG ... shock, sudden cardiac ... death Management ... #Cardiology
Bradycardia 1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... worsening brady, Signs ... SOB from CHF, Chest ... Pain • ECG: Bad ... Connect ECG Leads
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
priority is to start chest ... person (minimum) to chest ... Breathing • Check chest ... and adequacy of chest ... • Check ECG rhythm
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Intraoperative Circulatory ... Signs: hypotension ... unexplained loss of cardiac ... Consider thrombolysis e.g ... #Checklist #Diagnosis
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
iatrogenic causes, e.g ... pericardiocentesis kit (eg ... examination and vital signs ... Anesthesiology #Anesthesia #Intraoperative ... #Checklist #Diagnosis
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
Breathing • Check chest ... and positioning (e.g ... Endocrine cause (eg ... #Checklist #Diagnosis ... #Management #Workup
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
Breathing • Check chest ... obtain 12-lead ECG ... hypovolaemia; primary cardiac ... #Checklist #Diagnosis ... #Management #Workup
Myasthenic Crisis Checklist - Myasthenia Gravis Evaluation - Chest X-ray and lung ultrasound (exclude other lung
Myasthenic Crisis Checklist ... Evaluation - Chest ... oral secretions (e.g ... monitoring (vital signs ... #Management #CriticalCare
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