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diagnosis anesthesia checklist workup intraoperative treatment ekg electrocardiogram algorithm bradycardia cardiac nephrology airway anaphylaxis arrest bradyarrhythmia cardiacarrest cardiomyopathy chf clinical
Wide Complex Tachycardia - ECG Definition and Causes • Wide Complex Tachycardia (WCT) is a cardiac
- ECG Definition ... and Causes • ... WCT #diagnosis #cardiology ... #definition #differential ... #causes
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Control rate (e.g ... Treat underlying cause ... Treat underlying cause ... #Treatment #management ... #cardiology #algorithm
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
Approach to ECGs ... (1) Sinus tachycardia ... 200ms from longer pause ... electrocardiogram #cardiology ... #differential
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
and positioning (e.g ... non-sinus → 2-7 Tachycardia ... #Hypotension #Differential ... #Anesthesiology ... Checklist #Diagnosis #Management
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
maintained fever CAUSES ... Sepsis (→ 3-14) e.g ... #Hyperthermia #Differential ... #Causes #Anesthesiology ... Checklist #Diagnosis #Management
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
likely underlying cause ... devices could have caused ... record hourly urine ... surgical site, urine ... anaesthesia #Sepsis #Anesthesiology
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
Palpitations - Differential ... exam • 12-lead ECG ... Valvular disease (e.g ... #Palpitations #Cardiology ... #Differential #
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
heart disease Causes ... 300 = NSVT EKG ... may not occur Differential ... PVC #diagnosis #differential ... #cardiology
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
CM5 continuous ECG ... Obtain a 12-lead ECG ... consultation with cardiology ... Ischemia #Ischaemia #Anesthesiology ... Checklist #Diagnosis #Management
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
in Anaesthesia Causes ... : hypotension, tachycardia ... Consider thrombolysis e.g ... mainstay of initial management ... Embolism #VTE #Anesthesiology
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