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diagnosis workup anesthesia anesthesiology cardiology checklist treatment algorithm criticalcare differential anaphylaxis arrest bradycardia cardiogenic cardiomyopathy catheterization cathlab chf clinical cooling
Inpatient Cath Lab Indications Cath Lab ASAP: STEMI NSTEMI: 1. Unstable/cardiogenic shock 2. Severe LV dysfunction or 3. Recurrent/persistent rest angina despite
Cath Lab ASAP: STEMI ... Unstable/cardiogenic shock ... low (1-2) risk, +ECG ... /UA: stable, TIMI ... #Indications #Cardiac
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... Fick calculated cardiac ... DCSI #Initiative #Management ... #Cardiology
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
Intraoperative Cardiac ... is unconscious, signs ... • Start glyceryl ... consultation with cardiology ... Checklist #Diagnosis #Management
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... state) • Tachycardia ... Full Set of Vital Signs ... telemetry, 12-Lead EKG ... Cardiac surgery?
Bradycardia 1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
worsening brady, Signs ... of Shock, SBP < ... Start pacing. ... #differential #management ... #cardiology
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
Intraoperative Sepsis ... cause) or septic shock ... serial lactates. ❾ Start ... Consider monitoring cardiac ... cultures if possible (eg
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 ... Anesthesiology #Anesthesia #Intraoperative ... Checklist #Diagnosis #Management
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... If indicated, start ... examination and vital signs ... Plan definitive management ... Anesthesiology #Anesthesia #Intraoperative
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
Pts: cardiogenic shock ... and timing with Cardio-OB ... Delivery • Stable ... If started, patients ... follow-up with Cardio-OB
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia Outcome from cardiac arrest is determined by
Obtain 12-lead ECG ... Start glycaemic ... • Start cooling ... ❾ Plan further management ... Anesthesiology #Anesthesia #Intraoperative
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