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checklist workup anesthesia anesthesiology atrial cardiology evaluation fibrillation intraoperative ischemia ischemic neurology perioperative preop preoperative risk stratification stroke
How do you work up an ischemic CVA? A) Initial Evaluation • ABCs • IV access, monitor
Physical exam (complete ... • Non-contrast CT ... Cardioembolic: • ECG ... 2) No major-risk ... #diagnosis #checklist
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
pre-existing history or risk ... Stop or rapidly complete ... consultation with cardiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Atrial Fibrillation (A-Fib) Summary Symptoms: • Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope. Why? Cardiac: • Valvular heart
Cardiac: • Valvular ... Decompensated HF • New ischemia ... Irregular wide-complex ... cardiovascular risk ... #diagnosis #management
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
history of: a) Ischemic ... b) CHF c) CVA ... > 1% risk of CV ... medical and surgical management ... stratification #diagnosis
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