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diagnosis management anesthesiology checklist intraoperative workup clinical echocardiogram pocus differential endocarditis perioperative preoperative risk stratification tamponade airgap algorithm anaphylaxis apical
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
CM5 continuous ECG ... Obtain a 12-lead ECG ... rapidly complete the surgery ... consultation with cardiology ... Anesthesiology #Anesthesia
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
delivery • Pause surgery ... consider: o Cardiac ... Anaphylaxis → 3-1 o Cardiac ... Sepsis → 3-14 o Cardiac ... Anesthesiology #Anesthesia
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
Cardiac Arrest - ... something related to surgery ... the reason for surgery ... • Call for cardiac ... • Check ECG rhythm
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 ... Obtain EKG if: ... one post op Cardiology ... postoperative cardiac
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... cardiothoracic surgery ... • Call for cardiac ... #Cardiac #Tamponade ... Anesthesiology #Anesthesia
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
unexplained loss of cardiac ... Consider thrombolysis e.g ... consult vascular surgeon ... N2O • Tell surgeon ... Anesthesiology #Anesthesia
Cardiac Fibroma on Echocardiogram (a4c) 32yo asymptomatic male referred to clinics due to a "funny" ECG. Dx:
Cardiac Fibroma ... Echocardiogram (a4c ... due to a "funny" ECG ... #Fibroma #a4c # ... Echocardiogram #clinical #cardiology
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 Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
for Crises in Anaesthesia ... Consider monitoring cardiac ... cultures if possible (eg ... abandon or limit surgery ... Anesthesiology #Anesthesia
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexpected cardiac ... non-essential surgery ... . ❷ Call for cardiac ... pressure < 50 mmHg or cardiac ... alternate vasopressor (e.g
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 ... agent, steroids, AC ... diagnosis #management #cardiology
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