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diagnosis management anesthesiology differential workup cardiology intraoperative pulmonary algorithm amiodarone anaphylaxis arteritis bradycardia chf clinical endocarditis foamed giantcell heartfailure hyperthermia
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Treatment depends ... Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... (e.g. haloperidol ... #Checklist #Diagnosis
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
trolley, anaphylaxis treatment ... require prolonged treatment ... alternate vasopressor (e.g ... as patient is stable ... Intraoperative #Checklist
Giant cell arteritis (GCA) Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
not be subtle e.g ... or sed rate): Value ... , but normal values ... E.g. 80 yo ESR cutoff ... Treatment of GCA
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
Guidelines for Crises ... remember to tailor treatment ... system including valves ... obtain 12-lead ECG ... Intraoperative #Checklist
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Pulmonary Renal Syndromes ... recent DAN) • EMG ... Goodpasture's cause ... sparing of the lung ... diagnosis #management #treatment
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
remember to tailor treatment ... system including valves ... Consider known drug causes ... (eg. remifentanil ... Intraoperative #Checklist
Amiodarone Induced Lung Toxicity Summary Who? • 5% of patients • Dose ≥ 400 mg per day How? Possible
pneumonia, ARDS, DAH ... Acute toxicity (e.g ... respiratory distress syndrome ... Chronic toxicity (e.g ... Exclude other causes
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
ECG is vital while ... acute coronary syndrome ... the determined cause ... #table #foamed ... heartfailure #chf #criticalcare
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
, verrucous) - Lung ... Cholesterol emboli syndrome ... Septic emboli cause ... ↑ ESR, CRP • EKG ... hematuria, + RF Treatment
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