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diagnosis management anesthesia checklist intraoperative workup differential cardiology tachycardia anaphylaxis bradyarrhythmia cardiac cardiacarrest comparison cyanosis evacuation hypotension hypoxia increased inotropes
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
60 (1) Sinus bradycardia ... 200ms from longer pause ... bradyarrhythmia #ECG ... #EKG #diagnosis ... #electrocardiogram
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
Guidelines for Crises ... system including valves ... Consider known drug causes ... (eg. remifentanil ... #Anesthesiology
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
system including valves ... and positioning (e.g ... o Endocrine cause ... (eg steroid dependency ... #Differential #Anesthesiology
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
surgery related cause ... system including valves ... Consider potential causes ... blood gas, 12-lead ECG ... #Differential #Anesthesiology
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 ... Contraindications: - Bradycardia ... arrythmias Diagnostics: EKG
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 ... effects: Reflex bradycardia ... Inotropes #comparison #table ... #pharmacology #criticalcare
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
breathing system valves ... • Confirm airway ... • Check ECG rhythm ... POTENTIAL CAUSES ... #Differential #Anesthesiology
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
tachycardia or bradycardia ... • Maintain the airway ... alternate vasopressor (e.g ... as patient is stable ... #Anaphylaxis #Anesthesiology
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
Guidelines for Crises ... system including valves ... obtain 12-lead ECG ... Guidelines for crises ... #Tachycardia #Anesthesiology
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
should identify any cause ... system including valves ... Consider potential causes ... blood gas, 12-lead ECG ... Hypoxia #Cyanosis #Anesthesiology
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