42 results
Intraoperative Cardiac Massage

Hanin Alashi, CCP @iNeena

#Intraoperative #Cardiac #Massage #CTS #thoracic #clinical #video #heart #surgery
Intraoperative Cardiac ... Intraoperative #Cardiac ... #Massage #CTS # ... #video #heart #surgery
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Diagnosis and Workup ... Pulmonary embolism • Cardiac ... rupture Initial workup ... score for PE • CTA ... Diagnosis #Algorithm #workup
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
Intraoperative Cardiac ... unconscious, signs of cardiac ... rapidly complete the surgery ... Ischemia #Ischaemia #Anesthesiology ... Diagnosis #Management #Workup
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Stabilize and Survey ... 4) Workup 5) ... dilated IVC - Cardiac ... Cardiac surgery? ... criticalcare #treatment #workup
Mains Electricity Failure - Guidelines for Crises in Anaesthesia
Unexpected total power failure is rare and unpredictable.
supply, duration of surgery ... Consider stopping surgery ... Consider continuing surgery ... Electricity #Failure #Anesthesiology ... Diagnosis #Management #Workup
Approach to the Hypercoagulable State
Arterial thromboembolism
→ Cardiac rhythm monitoring, Echocardiogram, Vascular imaging
→ Test for APS, particularly
thromboembolism → Cardiac ... Provoked (e.g. surgery ... - No other workup ... Hypercoagulable #Workup
Candidemia Workup and Management - IDSA Guidelines
1) Antibiotics
 • Empiric: Echinocandins (e.g. micafungin) for most patients
Candidemia Workup ... involvement • Cardiac ... Additional metastatic workup ... Consider: Spine, CNS
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
unexplained loss of cardiac ... consult vascular surgeon ... N2O • Tell surgeon ... Embolism #VTE #Anesthesiology ... Diagnosis #Management #Workup
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... cardiothoracic surgery ... • Call for cardiac ... #Tamponade #Anesthesiology ... Diagnosis #Management #Workup
Perioperative Medications - Which Medications to Hold or Continue?
Aspirin - Continue
 • Aspirin should be continued
stents unless the surgery ... preoperatively to reduce cardiac ... Hold morning of surgery ... to discuss with anesthesiology ... -4 days before surgery