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management anesthesia anesthesiology workup cardiology ecg electrocardiogram aflutter cardiac flutter typical counterclockwise reverse signs symptoms syndrome airway anaphylaxis arrest cardiomyopathy
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
Wellens' Sign: LAD-T Wave Inversion Life threatening T wave inversions in precordial leads. Often V2-V3 Specific
Specific for critical ... becoming acute anterior ... Serial EKGS in pts ... Wellens #Sign #EKG ... #Diagnosis #Cardiology
Isthmus Independent Atrial Flutter • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
without typical inferior ... Flutter #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
Intraoperative Sepsis ... Check serial lactates ... cultures if possible (eg ... Anesthesiology #Anesthesia #Intraoperative ... #Checklist #Diagnosis
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
Intraoperative Cardiac ... CM5 continuous ECG ... Consider invasive arterial ... Anesthesiology #Anesthesia #Intraoperative ... #Checklist #Diagnosis
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
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
help and inform clinical ... tube ❹ Rapid diagnosis ... • Diagnostic ... Anesthesiology #Anesthesia #Intraoperative ... #Checklist #Diagnosis
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
Intraoperative Anaphylaxis ... alternate vasopressor (e.g ... as patient is stable ... an appropriate critical ... #Checklist #Diagnosis
Malignant Hyperthermia Crisis - Guidelines for Crises in Anaesthesia Unexplained increase in ETCO2 AND tachycardia AND increased
groin, axillae and anterior ... Plan admission to critical ... INVESTIGATIONS Arterial ... Anesthesiology #Anesthesia #Intraoperative ... #Checklist #Diagnosis
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