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cardiology anesthesiology checklist intraoperative workup arrest biopsy bradycardia cardiomyopathy clinical cooling evaluation hypoxia ischaemia ischemia neuroprotection perioperative peripartum preop preoperative
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
Myocarditis Diagnosis ... gallop • Abnormal ECG ... shock, sudden cardiac ... #Diagnosis #Management ... #Cardiology
Myocarditis 5 Principles of Myocarditis: 1. Build clinical suspicion 2. Decide on EMBx 3. Manage acute cardiac injury 4. Manage chronic
Manage acute cardiac ... Manage chronic cardiac ... Pericarditis, Tamponade EKG ... #diagnosis #management ... #cardiology #summary
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
CM5 continuous ECG ... Obtain a 12-lead ECG ... consultation with cardiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Cardiac Stress Testing Exercise: • Everyone who can exercise should! • They must be able to raise
Cardiac Stress Testing ... : EKG ($), ECHO ... #Stress #Testing ... #cardiology #management ... #diagnosis
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
proceed to the next steps ... Consider monitoring cardiac ... cultures if possible (eg ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
infarction • Stress ... factors + oxidative stress ... fragment • Other: Myocarditis ... and timing with Cardio-OB ... #management #cardiology
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia Outcome from cardiac arrest is determined by
Obtain 12-lead ECG ... and discuss with cardiology ... ❾ Plan further management ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
Follow the full steps ... known drug causes (eg ... Intraoperative #Checklist #Diagnosis ... #Management #Workup ... #Cardiology
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
Desaturation / Cyanosis ... blood gas, 12-lead ECG ... Intraoperative #Checklist #Diagnosis ... #Workup #Management ... #Workup #anesthesia
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
complications from anesthesia ... exam Determine Cardiac ... postoperative cardiac ... medical and surgical management ... stratification #diagnosis
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