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management differential anesthesia anesthesiology checklist intraoperative workup algorithm cardiac lung tachycardia abscess amiodarone anaphylaxis bradyarrhythmia cardiomyopathy chf clinical criticalcare ctchest
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
Approach to ECGs ... 200ms from longer pause ... bradyarrhythmia #ECG ... #EKG #diagnosis ... electrocardiogram #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
Cardiac Stress Testing Exercise: • Everyone who can exercise should! • They must be able to raise
• They must be able ... production to cause ... Contraindications: - Bradycardia ... : EKG ($), ECHO ... Stress #Testing #cardiology
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
hypertension, tachy- or bradycardia ... trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... consultation with cardiology
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
recent DAN) • EMG ... Goodpasture's cause ... hematuria, RBC casts ... #differential #diagnosis ... #management #treatment
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 #Diagnosis ... Management #Workup #Cardiology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Hyperkalemia - Diagnosis ... palpitations, bradycardia ... heparinized tube) • ECG ... only if no clear cause ... Elimination (see Table
Lung Abscess - Diagnosis and Management Summary Lung Abscess Etiology: • Necrosis of lung parenchyma by a
• Most common cause ... shows a small, stable ... • Vasculitis (e.g ... Lung #Abscess #pulmonary ... #differential #causes
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 #Diagnosis
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
- Differential Diagnosis ... exam • 12-lead ECG ... Valvular disease (e.g ... Pheochromocytoma • Pulmonary ... #Palpitations #Cardiology
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