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diagnosis management anesthesia anesthesiology intraoperative workup differential inotropes pharmacology treatment vasopressors amyloid anaphylaxis arrest bradycardia cardiology cooling criticalcare cyanosis effect
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
trolley and 12-lead ECG ... Treat haemodynamic instability ... CM5 continuous ECG ... Obtain a 12-lead ECG ... Intraoperative #Checklist
Common Vasopressors and Inotropes Norepinephrine (NE) - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
is not desired (e.g ... is not desired (e.g ... Bradyarrhythmias, Some cases ... #Inotropes #comparison ... #table #pharmacology
Vasopressors Table Rough properties by Target Receptor, Heart Rate/Inotropy, Systemic Vascular Resistance, Cardiac Output, Blood Pressure,
Vasopressors Table ... Vascular Resistance, Cardiac ... Resistance, Main Uses ... Vasopressors #Properties #Table ... Effect #Management #Comparison
Amyloidosis - Summary Group of disorders associated with extracellular deposition of fibrils formed from low-molecular-weight proteins in
• Heavy-chain (AH ... in AA and AL Cardiac ... LVH, low-voltage EKG ... Amyloid typing Cardiac ... Testing: • EKG
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
and positioning (e.g ... consider: o Cardiac ... ischaemia → 3-12 ... (eg steroid dependency ... Intraoperative #Checklist
Bradycardia - Differential Diagnosis • Cardiac disease: Myocardial ischemia / infarction, Myocarditis, Congenital disorders, Cardiomyopathies,
Diagnosis • Cardiac ... disease: Myocardial ischemia ... . sarcoidosis, amyloidosis ... Physiological causes ... (e.g. athletes,
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
nose deformity • Cardiac ... EGPA) • Digital ischemia ... (UPC) ratio • Cardiac ... recent DAN) • EMG ... Goodpasture's cause
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexpected cardiac ... arrest where other causes ... alternate vasopressor (e.g ... as patient is stable ... Intraoperative #Checklist
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia Outcome from cardiac arrest is determined by
Guidelines for Crises ... dysfunction / instability ... Obtain 12-lead ECG ... Guidelines for crises ... Intraoperative #Checklist
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
/crush injury, ischemia ... heparinized tube) • ECG ... only if no clear cause ... Elimination (see Table ... line, stabilizes cardiac
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