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management anesthesiology cardiology checklist differential workup intraoperative cardiac anaphylaxis barre bradyarrhythmia calculi calculus complexes electrocardiogram gammopathy guillain guillainbarre hyperkalemia hyperthermia
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
60 (1) Sinus bradycardia ... 200ms from longer pause ... bradyarrhythmia #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Treatment depends ... Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... malignant syndrome (e.g ... #Checklist #Diagnosis
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
hypertension, tachy- or bradycardia ... trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... Anesthesiology #Anesthesia
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
remember to tailor treatment ... Consider known drug causes ... (eg. remifentanil ... Intraoperative #Checklist #Diagnosis ... Management #Workup #Cardiology
Cardiac Stress Testing Exercise: • Everyone who can exercise should! • They must be able to raise
production to cause ... Contraindications: - Bradycardia ... : EKG ($), ECHO ... SPECT ($$$), PET CT ... Stress #Testing #cardiology
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexplained tachycardia ... or bradycardia ... alternate vasopressor (e.g ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
Intraoperative Tachycardia ... Guidelines for Crises ... remember to tailor treatment ... obtain 12-lead ECG ... Intraoperative #Checklist #Diagnosis
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
- Differential Diagnosis ... exam • 12-lead ECG ... dysfunction • Bradycardia-tachycardia ... Valvular disease (e.g ... #Palpitations #Cardiology
Imaging Modalities for Renal Calculus AXR. KUB - Good far calcium-containing stones useful when limited radiation dose
is desirable, e.g ... identify non-calculus causes ... for non-calculus causes ... stones #calculus #Radiology ... #Diagnosis
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Hyperkalemia - Diagnosis ... palpitations, bradycardia ... heparinized tube) • ECG ... only if no clear cause ... Monitor for tachycardia
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