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diagnosis differential management anesthesiology checklist intraoperative catheterization complications cyanosis ecg electrocardiogram equivalents evaluation hypotension hypoxia ischaemia palpitations perioperative post preop
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 ... consultation with cardiology ... #Cardiac #Ischemia
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 ... Ischemia? ... differential #management #cardiology
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
Bradycardia in ... Breathing • Check chest ... known drug causes (eg ... Diagnosis #Management #Workup ... #Cardiology
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 ... Sepsis → 3-14 o Cardiac ... Diagnosis #Management #Workup
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
accompanied by chest ... accompanied by chest ... deviation) • Acute ischemia ... #EKG #diagnosis ... #differential #cardiology
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 ... #anesthesia
Post Cardiac Catheterization Complications Access site complications • Hematoma - Pain, swelling, bruising • Retroperitoneal bleed -
pain, pallor, paresthesia ... - Hypotension, bradycardia ... presyncope • MI - Chest ... tamponade - Chest ... Complications #cardiology
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
flip-flopping in the chest ... muscle twitching CARDIAC ... Nonarrhythmic Cardiac ... Flag Symptoms: • Chest ... #Palpitations #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 ... Obtain EKG if: ... one post op Cardiology ... change CV risk Chest
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