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criticalcare anesthesia anesthesiology cardiology treatment workup differential intraoperative myasthenia neurology perioperative anaphylaxis arrest cardiac causes chf cooling crisis endocarditis evaluation
Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
TEE) • Chest CT ... if suspected (e.g ... block (+/- daily EKG ... of infection (e.g ... #criticalcare #diagnosis
Treatment of Stable Wide-Complex Tachycardia Regular • If ventricular tachycardia or uncertain rhythm: -
necessary to max 2.2 grams ... nodal agents (e.g ... magnesium sulfate 2 grams ... #Treatment #management ... #cardiology #algorithm
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
Myocarditis Diagnosis ... performed) • Clinical ... Unexplained sinus tachycardia ... gallop • Abnormal ECG ... #Management #Cardiology
Myasthenia Gravis Overview Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction. Ab to
Clinical Picture ... myasthenia Diagnosis ... and EMG Findings ... Imaging - CT Chest ... #diagnosis #management
Myasthenia Gravis - Summary • an autoimmune disease of the postsynaptic neuromuscular junction associated with antibodies
Myasthenia Gravis ... serologic, and EMG ... characteristic EMG ... undergo chest CT ... #diagnosis #management
Myasthenic Crisis Checklist - Myasthenia Gravis Evaluation - Chest X-ray and lung ultrasound (exclude other lung
Myasthenic Crisis Checklist ... - Myasthenia Gravis ... Pyridostigmine - New diagnosis ... oral secretions (e.g ... #Management #CriticalCare
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
39 C this is a clinical ... Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... malignant syndrome (e.g ... #Diagnosis #Management
Severe Influenza Checklist Diagnostic tests - Blood cultures x2 - Sputum gram stain & culture
effusion - CT ... uncertainty (e.g ... other indication (e.g ... ascorbic acid 1.5 grams ... #Management #CriticalCare
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
diagnosis but rather ... ECG is vital while ... establishing a diagnosis ... #algorithm #management ... #cardiology #treatment
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexplained tachycardia ... alternate vasopressor (e.g ... an appropriate critical ... Intraoperative #Checklist ... #Diagnosis #Management
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