12 results
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
is unconscious, signs ... of cardiac ischaemia ... is conscious, symptoms ... #Anesthesiology ... Intraoperative #Checklist
Myocardial infarction:
Classified into 5 types based on etiology and circumstances:

Type 1: Spontaneous MI caused by ischemia
Spontaneous MI caused ... sudden unexpected cardiac ... and symptoms of ... and symptoms of ... #CAD #thrombosis
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
is not desired (e.g ... Bradyarrhythmias, Some cases ... - Indication: Can ... #Inotropes #comparison ... #table #pharmacology
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
system including valves ... intrathoracic pressure can ... ischaemia → 3-12 ... #Differential #Anesthesiology ... Intraoperative #Checklist
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
high WBC count cause ... AKI, acute limb ischemia ... priapism • Lab values ... WBC >100k, + lab signs ... unless worrisome EKG
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
• Unexplained hypotension
• Unexplained bronchospasm (wheeze may be absent
of more of the signs ... alternate vasopressor (e.g ... as patient is stable ... #Anaphylaxis #Anesthesiology ... Intraoperative #Checklist
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 ... Embolism #VTE #Anesthesiology ... Intraoperative #Checklist
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
EGPA) • Digital ischemia ... (UPC) ratio • Cardiac ... recent DAN) • EMG ... or serologies + symptoms ... Goodpasture's cause
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
pathognomonic signs ... /symptoms or echo ... left-sided heart valves ... #Endocarditis #comparison ... Marantic #diagnosis #table
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia
Using these steps from start
system including valves ... blood gas, 12-lead ECG ... ischaemia (or infarction ... Hypoxia #Cyanosis #Anesthesiology ... Intraoperative #Checklist