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management differential cardiology workup pulmonary anesthesia anesthesiology checklist intraoperative algorithm bradycardia classification clinical foamed lung neurology pharmacology renal secondary shock
Tachycardia - Wide vs Narrow Complex, Regular vs Irregular rhythm table #Diagnosis #Cardiology #EKG #ECG #WideComplex #Narrow
Tachycardia - Wide ... #Diagnosis #Cardiology ... #EKG #ECG #WideComplex ... #Irregular #Table ... #Comparison #Differential
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 ... #Tachycardia #Treatment
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
Approach to ECGs ... (1) Sinus tachycardia ... 200ms from longer pause ... bradyarrhythmia #ECG ... #EKG #diagnosis
Shock - Differential Diagnosis by Classification Reflex Syncope - Vasovagal syncope • Prolonged standing
- Differential Diagnosis ... • Ventricular tachycardia ... Medication side effect (e.g ... Medication side effect (e.g ... Classification #Table
Common Vasopressors and Inotropes Norepinephrine (NE) - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
is not desired (e.g ... is not desired (e.g ... Vasopressors #Inotropes #comparison ... #table #pharmacology ... #criticalcare
Cardiac Stress Testing Exercise: • Everyone who can exercise should! • They must be able to raise
• They must be able ... 85% of predicted value ... production to cause ... ventricular arrythmias Diagnostics ... : EKG ($), ECHO
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
arrhythmia syndromes (e.g ... 300 = NSVT EKG ... Differential Diagnosis ... more intensive treatment ... Complexes #PVCs #PVC #diagnosis
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
- Differential Diagnosis ... Vascular → PE, PAH ... findings based on cause ... #table #comparison ... #criticalcare
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
system including valves ... and positioning (e.g ... non-sinus → 2-7 Tachycardia ... (eg steroid dependency ... Intraoperative #Checklist #Diagnosis
Massive Hemoptysis - Diagnosis and Management • Definitions: - Hemoptysis = bleeding from
Massive Hemoptysis - Diagnosis ... respiratory tract (e.g ... has potential to cause ... #Management #treatment ... workup #pulmonary #criticalcare
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