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cardiology workup anesthesia anesthesiology intraoperative algorithm criticalcare treatment cardiac ekg electrocardiogram foamed neurology als amyotrophic anaphylaxis arrest arteritis bradyarrhythmia bradycardia
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
200ms from longer pause ... bradyarrhythmia #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology ... #differential
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
Myocarditis Diagnosis ... Unexplained sinus tachycardia ... gallop • Abnormal ECG ... Dysrhythmia, heart block ... #Management #Cardiology
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
effects of neuraxial block ... non-sinus → 2-7 Tachycardia ... #Hypotension #Differential ... Intraoperative #Checklist ... #Diagnosis #Management
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
39 C this is a clinical ... amphetamines) Toxic: • Radiologic ... #Hyperthermia #Differential ... #Anesthesia #Checklist ... #Diagnosis #Management
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
Bundle branch block ... may not occur Differential ... Diagnosis: • PAC ... #differential # ... cardiology
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
Palpitations - Differential ... exam • 12-lead ECG ... with variable block ... atrioventricular block ... #Differential #
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
New or evolving regional ... CM5 continuous ECG ... consultation with cardiology ... Intraoperative #Checklist ... #Diagnosis #Management
Causes of Secondary Hypertension - Workup and Differential Diagnosis Approach (when evaluation should be done): 1. Severe or
Hypertension - Workup and Differential ... Diagnosis Approach ... non-obese, non-black ... 109 mm Hg) with clinical ... #Differential #
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
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... Elevation - Differential ... Diagnosis Framework ... ; and sinus tachycardia ... #diagnosis #cardiology
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