11 results
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 ... ST-T Changes • STE ... #EKG #Pulmonary ... diagnosis #cardiology #electrocardiogram
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
Causes: thrombus ... over 2 h (>65 kg ... mainstay of initial management ... Embolus #Embolism #VTE ... #Anesthesiology
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
Guidelines for Crises ... consider need for anticoagulation ... Ischemia #Ischaemia #Anesthesiology ... #Anesthesia #Intraoperative ... Checklist #Diagnosis #Management
Increased Airway Pressure - Guidelines for Crises in Anaesthesia

Using these steps from start to end should
blood gas, 12-lead ECG ... o Aspiration, pulmonary ... #Differential #Anesthesiology ... #Anesthesia #Intraoperative ... Checklist #Diagnosis #Management
Intraoperative Laryngospasm and Stridor - Guidelines for Crises in Anaesthesia

❶ Call for help and inform theatre
Consider other causes ... negative-pressure pulmonary ... Laryngospasm #Stridor #Anesthesiology ... #Anesthesia #Intraoperative ... Checklist #Diagnosis #Management
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Culture (+): Acute ... Cerebral > Splenic, pulmonary ... ↑ ESR, CRP • EKG ... + Systemic anticoagulation ... Endocarditis #diagnosis #management
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia
Using these steps from start
blood gas, 12-lead ECG ... o Aspiration, pulmonary ... Hypoxia #Cyanosis #Anesthesiology ... Diagnosis #Workup #Management ... #Workup #anesthesia
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... QRS complex Pulmonary ... weeks following an acute ... voltage Other Causes ... #ekg #electrocardiogram
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
exclude other causes ... cardiomyopathy • Pulmonary ... Management during ... suggest prophylactic anticoagulation ... Serial TTE and close
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
complications from anesthesia ... Obtain EKG if: ... Anticoagulation ... • <3mo since VTE ... medical and surgical management