32 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Algorithm History ... life-threatening causes ... Pulmonary embolism • Cardiac ... : • EKG • Bedside ... ultrasound • CXR
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... consultation with cardiology ... Anesthesiology #Anesthesia
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
of blood, pus, effusion ... , e.g. central line ... pericardiocentesis kit (eg ... Anesthesiology #Anesthesia ... Diagnosis #Management #Workup
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
rate, rhythm, perfusion ... and positioning (e.g ... consider: o Cardiac ... (eg steroid dependency ... Diagnosis #Management #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
• Unexplained hypotension
• Unexplained bronchospasm (wheeze may be absent
• Unexpected cardiac ... arrest, start CPR ... alternate vasopressor (e.g ... Anesthesiology #Anesthesia ... Diagnosis #Management #Workup
Approach to the Hypercoagulable State
Arterial thromboembolism
→ Cardiac rhythm monitoring, Echocardiogram, Vascular imaging
→ Test for APS, particularly
thromboembolism → Cardiac ... Vascular imaging → Test ... • Provoked (e.g ... CBC, aPTT, +/- CXR ... hematology #diagnosis #algorithm
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework

IATROGENIC DISEASE
Secondary to invasive cardiac procedures

NONIATROGENIC
• Malignancy (e.g., metastatic spread:
Secondary to invasive cardiac ... • Malignancy (e.g ... OTHER RARE CAUSES ... • PRIMARY Cardiac ... Differential #Diagnosis #cardiology
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
Causes: thrombus ... unexplained loss of cardiac ... Consider thrombolysis e.g ... Anesthesiology #Anesthesia ... Diagnosis #Management #Workup
Cardiac Arrest - Guidelines for Crises in Anaesthesia

The probable cause is one or more of: something
Cardiac Arrest - ... • Call for cardiac ... • Check ECG rhythm ... Anesthesiology #Anesthesia ... Diagnosis #Management #Workup
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia
This is the last resort when
Guidelines for Crises ... airway expertise e.g ... trolley and then cardiac ... Guidelines for crises ... Diagnosis #Management #Workup