13 results
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
CM5 continuous ECG ... consultation with cardiology ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
Management Algorithm ... Stable Angina Stress ... LMCA lesion -> Cardiac ... Angina #ChestPain #Diagnosis ... #Cardiology #EBM
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... INCLUSION CRITERIA ... Infarction  Ischemic ... Symptoms  EKG ... Fick calculated cardiac
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
consider: o Cardiac ... ischaemia → 3-12 ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
- Differential Diagnosis ... lack of acute cardiac ... level <100 pg/ml EKG ... • Negative for ischemic ... #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
exam Determine Cardiac ... history of: a) Ischemic ... event, follow ACC algorithm ... postoperative cardiac ... stratification #diagnosis
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia

Severe sepsis (hypotension persisting after initial fluid challenge of
Consider monitoring cardiac ... cultures if possible (eg ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
: • New cardiac ... Early embolic/ischemic ... -> TEE • Duke Criteria ... ↑ ESR, CRP • EKG ... #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 ... 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