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diagnosis checklist anesthesiology intraoperative cardiology algorithm differential treatment clinical foamed icu myocarditis perioperative summary admissions admitting anaphylaxis aortic arrest balloon
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... telemetry, 12-Lead EKG ... and Survey 4) Workup ... Cardiac surgery? ... #Summary #criticalcare
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
CM5 continuous ECG ... consultation with cardiology ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management ... #Workup
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
gallop • Abnormal ECG ... • Cardiogenic shock ... , sudden cardiac ... death Management ... #Cardiology
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Sepsis (→ 3-14) e.g ... amphetamines) Toxic: • Radiologic ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management ... #Workup
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia This is the last resort when
optimal airway management ... airway expertise e.g ... trolley and then cardiac ... Checklist #Diagnosis #Management ... #Workup
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
cause) or septic shock ... Consider monitoring cardiac ... cultures if possible (eg ... Discuss ongoing management ... #Workup
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
consider: o Cardiac ... Anaphylaxis → 3-1 o Cardiac ... Sepsis → 3-14 o Cardiac ... Checklist #Diagnosis #Management ... #Workup
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
unexplained loss of cardiac ... Consider thrombolysis e.g ... mainstay of initial management ... Anesthesiology #Anesthesia ... #Workup
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... • Call for cardiac ... Plan definitive management ... Checklist #Diagnosis #Management ... #Workup
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... Fick calculated cardiac ... IF LVEDP >15 or Cardiac ... DCSI #Initiative #Management ... #Cardiology
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