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management anesthesia anesthesiology intraoperative differential algorithm embolism endocarditis thromboembolism treatment acutepe admissions admitting anaphylaxis arrest cardiomyopathy chest cooling criticalcare cyanosis
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
Chest Pain - Diagnosis and Workup Algorithm History and Exam Acute life-threatening causes: • Acute myocardial infarction •
life-threatening causes ... Pneumothorax • Pulmonary ... embolism • Cardiac ... : • EKG • Bedside ... ultrasound • CXR
EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
EKG in Acute Pulmonary ... evaluating for other causes ... of cardio-pulmonary ... in relation to ECG ... #EKG #Pulmonary
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
CM5 continuous ECG ... consultation with cardiology ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... indicated, start CPR ... • Diagnostic ... Intraoperative #Checklist ... #Workup
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework NCPE Pathophysiology: Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
- Differential Diagnosis ... Causes include: ... lack of acute cardiac ... ischemic changes CXR ... #cardiology
Admitting in the ICU - Checklist VITALS: If bad, stop and go see the patient immediately; you
Admitting in the ICU - Checklist ... TTE: Helps to know ... and CXR ... Urine Pregnancy Test ... #diagnosis #workup
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
mononeuritis multiplex WORKUP ... (UPC) ratio • Cardiac ... anti-GBM) Other tests ... recent DAN) • EMG ... Goodpasture's cause
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
in Anaesthesia Causes ... unexplained loss of cardiac ... Embolus #Embolism #VTE ... #Diagnosis #Management ... #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
arrest, start CPR ... alternate vasopressor (e.g ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
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