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anesthesia anesthesiology checklist differential intraoperative cardiology perioperative bradycardia cardiac causes cyanosis ekg electrocardiogram equivalents evaluation hyperthermia hypoxia interpretation ischaemia preop
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
- Ischemia MI ... Equivalents / Don't Miss Signs ... deWinter T waves - starts ... #ECG #EKG #diagnosis ... electrocardiogram #cardiology
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
is unconscious, signs ... • Start glyceryl ... consultation with cardiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Bradycardia 1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
worsening brady, Signs ... Ischemia? ... #bradycardia #diagnosis ... #differential #management ... #cardiology
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Allergic reaction / anaphylaxis ... hyperthermia crisis (late sign ... amphetamines) Toxic: • Radiologic ... Anesthesia #Checklist #Diagnosis ... #Management #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
Intraoperative Anaphylaxis ... of more of the signs ... alternate vasopressor (e.g ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
history of: a) Ischemic ... Stable patients ... one post op Cardiology ... medical and surgical management ... stratification #diagnosis
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
these steps from start ... blood gas, 12-lead ECG ... Bronchospasm → 3-4 o Anaphylaxis ... o Cardiac ischaemia ... #Workup #Management
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