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diagnosis anesthesiology checklist workup intraoperative perioperative bradycardia differential evaluation hyperthermia preop preoperative prinzmetal risk stratification tachycardia vasospastic
Vasospastic (Prinzmetal) Angina Definition / Epidemiology: • Rest angina attributed to coronary artery vasospasm. • Patients often
changes on tele/ECG ... perform provocative tests ... in cath lab Treatment ... #cardiology #diagnosis ... #management
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Treatment depends ... maintained fever CAUSES ... Allergic reaction / anaphylaxis ... #Differential #Causes ... Checklist #Diagnosis #Management
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
Intraoperative Anaphylaxis ... treatment pack ... require prolonged treatment ... alternate vasopressor (e.g ... Checklist #Diagnosis #Management
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
Guidelines for Crises ... remember to tailor treatment ... obtain 12-lead ECG ... amniotic (→ 3-5); anaphylaxis ... Checklist #Diagnosis #Management
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
remember to tailor treatment ... Consider known drug causes ... (eg. remifentanil ... Checklist #Diagnosis #Management ... #Workup #Cardiology
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
complications from anesthesia ... determine if stress test ... one post op Cardiology ... Unstable Angina ... medical and surgical management
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