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diagnosis management treatment workup criticalcare differential intraoperative cardiology checklist pulmonary anesthesia anesthesiology cardiac causes clinical indications perioperative pharmacology preoperative stratification
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
functional status - Able ... metabolic equivalent able ... indicated • EKG ... Obtain EKG if: ... Stable patients
Junctional Rhythms - Junctional rhythm describes an abnormal heart rhythm resulting from impulses coming from a
coming from a locus ... Cardiology #MedStudent #EKG ... Junctional #Rhythms #Table
Approach to Perioperative Cardiovascular Evaluation for Patients underqoinq Noncardiac Surgery 1. Emergent Surgery? 2. Risk Stratify eg NSQIP 3.
underqoinq Noncardiac Surgery ... Emergent Surgery ... Risk Stratify eg ... #Preoperative #Risk ... stratification #surgery
Perioperative Management of DOACs Problem: ✖ Each year approximately 250,000 patients on chronic anticoagulation in North America
effect prior to surgery ... per treatment table ... Surgery: 24 hours ... • High Bleed-Risk ... Surgery: 48-72
Pulmonary Embolism Treatment Systemic Thrombolysis - Exclude contraindications. - Indications: - Massive PE (definite indication)
submassive PE (risk ... Low dose 0.5 mg/kg ... 50mg IV) - 2% risk ... of ICH and 6% risk ... or who require surgery
Acute Coronary Syndrome (ACS) Definitions - Stable Angina, Unstable Angina, NSTEMI, STEMI 1 STABLE ANGINA - Angina
Definitions - Stable ... NSTEMI, STEMI 1 STABLE ... is reflected by ECG ... changes and a rise ... Text: The Only EKG
Inpatient Cath Lab Indications Cath Lab ASAP: STEMI NSTEMI: 1. Unstable/cardiogenic shock 2. Severe LV dysfunction or 3. Recurrent/persistent rest angina despite
or high (5-7) risk ... TIMI low (1-2) risk ... , +ECG changes or ... Rx: NSTEMI/UA: stable ... TIMI low (1-2) risk
Irritable Bowel Syndrome (IBS) - Pathophysiology, Diagnosis and Management Algorithm Risk factors: Previous acute enteric infection, Female
Management Algorithm Risk ... somatic syndromes (e.g ... chronic fatigue) Risk ... Abdominal or pelvic surgery
Wernicke Encephalopathy - Acute B1 (Thiamine) Deficiency - Diagnosis and Management Diagnosis - Caine Criteria (2 of
dysfunctions ( e.g ... Cerebellar dysfunction (e.g ... Any risk factor ... pregnancy • Bariatric surgery
Bleeding Risk for Various Invasive/Surgical Procedures Low Risk: • Dental extractions (1 or 2 teeth), endodontic (root
Bleeding Risk for ... Procedures Low Risk ... extractions) High Risk ... #Bleeding #Risk ... Perioperative #Procedures #Table
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