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diagnosis management anesthesiology intraoperative workup differential ischemia anaphylaxis bradycardia cardiomyopathy complexes embolism embolus hypotension ischaemia mi myocardialinfarction obgyn peripartum ppcm
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
abnormalities (hypo- or hypertension ... is conscious, symptoms ... CM5 continuous ECG ... consultation with cardiology ... Intraoperative #Checklist
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
for Crises in Anaesthesia ... system including valves ... intrathoracic pressure can ... cause hypotension ... Intraoperative #Checklist
Myocardial infarction: Classified into 5 types based on etiology and circumstances: Type 1: Spontaneous MI caused by ischemia
Spontaneous MI caused ... , hypertension), ... sudden unexpected cardiac ... infarction with cTn values ... myocardialinfarction #CAD
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexpected cardiac ... as a possible cause ... alternate vasopressor (e.g ... as patient is stable ... Intraoperative #Checklist
Cardiac Stress Testing Exercise: • Everyone who can exercise should! • They must be able to raise
• Everyone who can ... 85% of predicted value ... production to cause ... Bradycardia & hypotension ... Stress #Testing #cardiology
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Signs: hypotension ... decreased ETCO2 Symptoms ... unexplained loss of cardiac ... Consider thrombolysis e.g ... Intraoperative #Checklist
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
alternatively a reflex to hypotension ... system including valves ... obtain 12-lead ECG ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
bradycardia OR severe hypotension ... system including valves ... Consider known drug causes ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
Can be the first ... manifestation of cardiac ... : • Hypertension ... Digoxin toxicity Symptoms ... #differential #cardiology
Peripartum Cardiomyopathy (PPCM) What is PPCM? • A form of acute systolic heart failure that develops late in
Risk Factors: • Hypertensive ... normal pregnancy symptoms ... experience recovery of cardiac ... underdiagnosed due to symptom ... Cardiomyopathy #Cardiology
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