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diagnosis management anesthesia anesthesiology intraoperative workup clinical algorithm anaphylaxis arrhythmias cardiacarrest carotidsinussyndrome cerebralhypoperfusion chf criticalcare echocardiogram electrocardiogram elevation emergency evaluation
Myocarditis - Diagnosis and Causes • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
coronary syndrome, Cardiac ... ventricular arrythmia, syncope ... Paraclinical assessment: EKG ... Troponin Increases, Cardiac ... #cardiology #MRI
Syncope is a sudden, transient loss of consciousness, which is thought to be secondary to cerebral
be divided into cardiac ... syncope, e.g., ... (ruling out differential ... orthostatic vital sign ... and an initial ECG
Cardiac Stress Testing Exercise: • Everyone who can exercise should! • They must be able to raise
85% of predicted value ... production to cause ... Contraindications: - Bradycardia ... arrythmias Diagnostics: EKG ... Stress #Testing #cardiology
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
is unconscious, signs ... trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... Intraoperative #Checklist
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 #
Bradycardia - Differential Diagnosis • Cardiac disease: Myocardial ischemia / infarction, Myocarditis, Congenital disorders, Cardiomyopathies,
Bradycardia - Differential ... Diagnosis • Cardiac ... Physiological causes ... #Differential # ... Diagnosis #cardiology
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
system including valves ... and positioning (e.g ... (eg steroid dependency ... #Hypotension #Differential ... Intraoperative #Checklist
Leukostasis vs Tumor Lysis Syndrome Leukostasis: • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
high WBC count cause ... priapism • Lab values ... WBC >100k, + lab signs ... tetany/cramps, syncope ... unless worrisome EKG
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
system including valves ... Consider known drug causes ... (eg. remifentanil ... Intraoperative #Checklist ... Management #Workup #Cardiology
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
tachycardia or bradycardia ... • Unexpected cardiac ... of more of the signs ... alternate vasopressor (e.g ... Intraoperative #Checklist
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