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diagnosis anesthesiology checklist intraoperative workup cardiology differential anaphylaxis allergy catheterization complications evaluation ischaemia ischemia manifestations organsystems perioperative post preop preoperative
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
is unconscious, signs ... , tachy- or bradycardia ... symptoms may include chest ... the patient is hypotensive ... Checklist #Diagnosis #Management
Cardiac Stress Testing Exercise: • Everyone who can exercise should! • They must be able to raise
Contraindications: - Bradycardia ... & hypotension. ... arrythmias Diagnostics: EKG ... SPECT ($$$), PET CT ... #management #diagnosis
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
OR severe hypotension ... Breathing • Check chest ... known drug causes (eg ... Checklist #Diagnosis #Management ... #Workup #Cardiology
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
Hypotension ... Breathing • Check chest ... consider: o Cardiac ... Sepsis → 3-14 o Cardiac ... Checklist #Diagnosis #Management
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 ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management
Bradycardia 1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
Bradycardia 1) ... worsening brady, Signs ... SOB from CHF, Chest ... #differential #management ... #cardiology
Post Cardiac Catheterization Complications Access site complications • Hematoma - Pain, swelling, bruising • Retroperitoneal bleed -
pain, pallor, paresthesia ... , bradycardia, presyncope ... • MI - Chest pain ... tamponade - Chest ... Complications #cardiology
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 ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management
Manifestations of Anaphylaxis by Body System Dermatologic/mucosal - Eyes: periorbital swelling/erythema, injected conjunctiva, tears - Oral mucosa:
wheezing or cough, chest ... capillary refill, hypotension ... - Late: bradycardia ... leads, cyanosis, cardiac ... Diagnosis #Allergy #Signs
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 Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
complications from anesthesia ... indicated • EKG ... Obtain EKG if: ... change CV risk Chest ... medical and surgical management
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