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management anesthesiology checklist intraoperative causes testing treatment catheterization criticalcare effectiveness perioperative syncope table acidosis airway algorithm anaphylaxis arrest artery calculations
Syncope Diagnostic Testing and Evaluation: Cost Effectiveness Frequency obtained - Abnormal findings - Helped determine etiology of
Syncope Diagnostic ... syncope Tests: ECG ... , Carotid U/S, EEG ... , Brain MRI, Cardiac ... #workup #testing
Osborn (J Wave) Etiology • Hypothermia (below 320C / SOOF) • Normal variant • Hypercalcemia • Neurological
No prognostic value ... Osborn #JWave #Diagnosis ... #Differential # ... Cardiology #EKG ... #ECG #Hypothermia
Syncope Cost-Effectiveness Workup Cost-effective tests for most patients: • Orthostatic BP • ECG • Telemetry (if
Workup Cost-effective ... Orthostatic BP • ECG ... • Ambulatory ECG ... Carotid US • Brain MRI ... • EEG • Cardiac
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 ... #Management #Workup
Cardiac Stress Testing Exercise: • Everyone who can exercise should! • They must be able to raise
85% of predicted value ... Contraindications: - Bradycardia ... : EKG ($), ECHO ... ($$$), PET CT/MRI ... Stress #Testing #cardiology
Myocarditis - Diagnosis and Causes • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
coronary syndrome, Cardiac ... Paraclinical assessment: EKG ... Troponin Increases, Cardiac ... #Myocarditis #differential ... #cardiology #MRI
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... malignant syndrome (e.g ... #Checklist #Diagnosis ... #Management #Workup
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
system including valves ... known drug causes (eg ... Intraoperative #Checklist #Diagnosis ... #Management #Workup ... #Cardiology
Approach to Undifferentiated Shock - OnePager Summary Shock occurs when there is inadequate blood flow (CO) &
: Rate/Rhythm (bradycardia ... myocarditis, etc), Valves ... pancreatitis, post-cardiac ... Undifferentiated #Shock #diagnosis ... #differential #
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
system including valves ... and positioning (e.g ... Endocrine cause (eg ... #Hypotension #Differential ... #Management #Workup
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