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cardiology management anesthesia anesthesiology checklist intraoperative workup hypoxia pulmonary cardiac electrocardiogram endocarditis ischemia neurology abdominal abscess acidosis acutepe airway algorithm
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 ... common finding) • Atrial ... result of atrial ... Embolism #AcutePE #diagnosis
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
tachycardia (2) Atrial ... (3) SVTs - atrial ... (3) Multifocal atrial ... bradyarrhythmia #ECG ... #EKG #diagnosis
Pulmonary Arterial Catheterization – Use and Interpretation: -Pulmonary arterial catheterization (PAC) has never been shown to improve
Pulmonary Arterial ... Interpretation: -Pulmonary arterial ... cardiogenic shock (eg ... ) -right atrial ... #NormalValues #Differential
Hypoxia and Hypoxemia - Overview Hypoxia - insufficient oxygen delivered to tissues to meet demands Hypoxemia - low
oxygen dissolved in arterial ... hemoglobin in arterial ... oxygen content of arterial ... stagnant hypoxia (e.g ... #diagnosis #causes
Mesenteric Ischemia - Differential Diagnostic Schema Chronic: ASCVD, Venous, Vasculitides 5% (PAN, [E]GPA, IgA, MPA) Acute - Venous
Mesenteric Ischemia - Differential ... Diagnostic Schema ... inflammation (e.g ... pancreatitis) - Arterial ... Meds/Treatments (Pressors
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... Paroxysmal AF, atrial ... flutter, or atrial ... • Multifocal atrial ... Valvular disease (e.g
Hypoxemic Respiratory Failure - Differential Diagnosis Framework DECREASED INSPIRED OXYGEN • Low PATM Can decrease first part
Diagnosis Framework ... High altitude (eg ... Intrapulmonary shunting (eg ... intracardiac shunting (eg ... , atrial or ventricular
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
surgery related cause ... help AND check arterial ... blood gas, 12-lead ECG ... #Differential # ... Intraoperative #Checklist #Diagnosis
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
Insert central and arterial ... to achieve mean arterial ... pressure ≥ 65 mmHg ... cultures if possible (eg ... Intraoperative #Checklist #Diagnosis
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 ... Consider invasive arterial ... blood pressure
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