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diagnosis anesthesiology differential management workup intraoperative ekg electrocardiogram airway bradycardia cardiac cyanosis deep edema equivalents evaluation hyperthermia hypotension hypoxia increased
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
symptoms may include chest ... CM5 continuous ECG ... Obtain a 12-lead ECG ... consultation with cardiology ... #Checklist #Diagnosis
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
maintained fever CAUSES ... • Serotonin syndrome ... #Perioperative ... #Differential #Causes ... #Checklist #Diagnosis
Deep T Wave Inversions - Differential Normal variants A. Juvenile T wave pattern
repolarization Myocardial ischemia ... infarction Takotsubo (stress ... wave inversion syndrome ... Differential #Diagnosis #Causes ... #Cardiology #ECG
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
specific questions to ask ... complications from anesthesia ... history of: a) Ischemic ... one post op Cardiology ... change CV risk Chest
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
Breathing • Check chest ... and positioning (e.g ... : o Cardiac ischaemia ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
Using these steps ... Breathing • Check chest ... blood gas, 12-lead ECG ... , chest X-ray. ... Intraoperative #Checklist
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
Follow the full steps ... Consider known drug causes ... (eg. remifentanil ... Intraoperative #Checklist ... Management #Workup #Cardiology
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
Using these steps ... blood gas, 12-lead ECG ... o Cardiac ischaemia ... Intraoperative #Checklist ... Management #Workup #anesthesia
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
Equivalents on ECG ... segment at (or 40-60 ms ... point • De Winter syndrome ... deviation) • Acute ischemia ... #differential #cardiology
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework NCPE Pathophysiology: Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Causes include: ... level <100 pg/ml EKG ... • Negative for ischemic ... syndrome (ARDS) ... differential #diagnosis #cardiology
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