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diagnosis management anesthesia anesthesiology intraoperative workup cardiac algorithm clinical differential tachycardia anaphylaxis arrest bradyarrhythmia cardiomyopathy chf cooling criticalcare electrocardiogram foamed
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
60 (1) Sinus bradycardia ... 200ms from longer pause ... bradyarrhythmia #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology
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 ... consultation with cardiology ... Intraoperative #Checklist
Cardiac Stress Testing Exercise: • Everyone who can exercise should! • They must be able to raise
• They must be able ... production to cause ... Contraindications: - Bradycardia ... arrythmias Diagnostics: EKG ... Stress #Testing #cardiology
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Treatment of Stable ... Control rate (e.g ... Treat underlying cause ... Control rate (e.g ... #management #cardiology
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
remember to tailor treatment ... Consider known drug causes ... (eg. remifentanil ... Intraoperative #Checklist ... Management #Workup #Cardiology
A wandering atrial pacemaker, (WAP), is an atrial arrhythmia that occurs when the natural cardiac pacemaker
identifiable on ECG ... athletes and rarely causes ... symptoms or requires treatment ... Clinical #MedStudent #EKG ... WanderingAtrialPacemaker #ECGEducator
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
tachycardia or bradycardia ... trolley, anaphylaxis treatment ... alternate vasopressor (e.g ... as patient is stable ... Intraoperative #Checklist
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
palpitations, bradycardia ... heparinized tube) • ECG ... QRS intervals, bradycardia ... only if no clear cause ... Elimination (see Table
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 ... and discuss with cardiology ... Intraoperative #Checklist
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
exclude other causes ... cardiomyopathy (e.g ... hemodynamics (e.g ... LVEF recovery (e.g ... teratogenic GDMT meds (e.g
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