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management anesthesia anesthesiology intraoperative cardiology clinical criticalcare syncope treatment arrest cardiacarrest causes chf cooling cost delirium effectiveness emergency evaluation fever
Syncope Cost-Effectiveness Workup Cost-effective tests for most patients: • Orthostatic BP • ECG • Telemetry (if
Orthostatic BP • ECG ... • Ambulatory ECG ... indications: • Echocardiogram ... • Head CT • Carotid ... • Brain MRI • EEG
Checklist for Evaluation of New-Onset Delirium in the ICU Initial assessment - Vital signs, neuro exam
- CBC with differential ... Relevant drug levels (e.g ... appropriate Consider CT ... rigidity) Consider EEG ... #CriticalCare #Diagnosis
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... #Diagnosis #Management ... #Workup
Approach to the Hypercoagulable State Arterial thromboembolism → Cardiac rhythm monitoring, Echocardiogram, Vascular imaging → Test for APS, particularly
thromboembolism → Cardiac ... rhythm monitoring, Echocardiogram ... • Provoked (e.g ... #hematology #diagnosis ... #algorithm #hematology
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... malignant syndrome (e.g ... #Diagnosis #Management ... #Workup
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
mononeuritis multiplex WORKUP ... Other tests: • CT ... o infection • Echocardiogram ... recent DAN) • EMG ... seen on chest CT
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
and positioning (e.g ... Endocrine cause (eg ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
• Check ECG rhythm ... CardiacArrest #Checklist ... #Differential # ... #Diagnosis #Management ... #Workup
Possible Algorithm for Workup of Fever of Unknown Origin (FUO) Tier 1 Workup: • CBC, comprehensive metabolic
Possible Algorithm ... release assay (e.g ... ESR, +/- CRP • CT ... Neuroimaging • Echocardiogram ... #diagnosis
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia Outcome from cardiac arrest is determined by
Obtain 12-lead ECG ... and discuss with cardiology ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
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