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cardiology ecg electrocardiogram flutter typical counterclockwise reverse anesthesia anesthesiology clockwise comparison evaluation intraoperative isthmus management perioperative preop preoperative risk stratification
Isthmus Independent Atrial Flutter • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
Atrial Flutter ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG Typical (Counterclockwise) Atrial Flutter • Inferior leads:
Flutter on EKG ... Flutter • Inferior ... Flutter • Inferior ... #cardiology #clinical ... #diagnosis #comparison
Typical (Counterclockwise) Atrial Flutter on EKG • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
Counterclockwise) Atrial ... Flutter on EKG ... • Inferior leads ... #cardiology #clinical ... #diagnosis
Reverse Typical (Clockwise) Atrial Flutter on EKG • Inferior leads: "Positive" waves often notched (usually not
Typical (Clockwise) Atrial ... Flutter on EKG ... • Inferior leads ... #cardiology #clinical ... #diagnosis
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
alternate vasopressor (e.g ... as patient is stable ... an appropriate critical ... Intraoperative #Checklist ... #Diagnosis #Management
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
Insulin dependent ... indicated • EKG ... Obtain EKG if: ... Change in clinical ... stratification #diagnosis
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