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diagnosis management anesthesiology checklist intraoperative differential cardiology bradycardia cardiacarrest cyanosis ecg electrocardiogram equivalents evaluation hypotension hypoxia ischemia perioperative preop preoperative
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
is unconscious, signs ... of cardiac ischaemia ... symptoms may include chest ... #Cardiac #Ischemia ... Diagnosis #Management #Workup
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
Breathing • Check chest ... consider: o Cardiac ... ischaemia → 3-12 ... Anesthesiology #Anesthesia ... Diagnosis #Management #Workup
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 ... Anesthesiology #Anesthesia
Bradycardia 1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
worsening brady, Signs ... SOB from CHF, Chest ... Ischemia? ... Patients DIE: Drugs, Ischemia ... differential #management #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 ... Diagnosis #Management #Workup
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
V2 • Wellens sign ... accompanied by chest ... pain • Wellens sign ... accompanied by chest ... deviation) • Acute ischemia
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
EGPA) • Digital ischemia ... mononeuritis multiplex WORKUP ... chest to evaluate ... typically seen on chest ... CT
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
Breathing • Check chest ... , chest X-ray. ... • Asymmetrical chest ... ischaemia (or infarction ... #Management #Workup
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
Breathing • Check chest ... known drug causes (eg ... Anesthesiology #Anesthesia ... Diagnosis #Management #Workup ... #Cardiology
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
complications from anesthesia ... history of: a) Ischemic ... indicated • EKG ... Obtain EKG if: ... change CV risk Chest
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