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diagnosis anesthesiology checklist intraoperative workup differential tachycardia algorithm cardiac clinical ekg electrocardiogram treatment anaphylaxis arrest arrhythmias avrt bradyarrhythmia cardiacarrest chf
Arrhythmias - Differential Diagnosis Algorithm Bradyarrhythmia (<60 bpm) • Sinus Bradycardia • Sick Sinus Syndrome • SA
bpm) • Sinus Bradycardia ... Tachycardia - Wide ... aberrancy - Wide ... tachyarrhythmias #Cardiology ... Diagnosis #Algorithm #causes
Supraventricular Tachycardia EKG Here’s a great ECG case of a 50-year-old lady who presented with palpitations Her heart
Here’s a great ECG ... case of a 50-year-old ... Is it wide or narrow ... @EM_RESUS #AVRT ... #Cardiology #EKG
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
hypertension, tachy- or bradycardia ... CM5 continuous ECG ... consultation with cardiology ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
Guidelines for Crises ... Consider known drug causes ... (eg. remifentanil ... Checklist #Diagnosis #Management ... #Workup #Cardiology
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Converts - Probably AVnRT ... Treat underlying cause ... Treat underlying cause ... Tachycardia #Treatment #management ... #cardiology #algorithm
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
Tachyarrhythmias - HR > 100 Wide ... 60 (1) Sinus bradycardia ... 200ms from longer pause ... can function) Wide ... electrocardiogram #cardiology
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia This is the last resort when
Guidelines for Crises ... optimal airway management ... airway expertise e.g ... Guidelines for crises ... Checklist #Diagnosis #Management
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
in Anaesthesia ... tachycardia or bradycardia ... alternate vasopressor (e.g ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... maneuvers: SVT-AVNRT ... bending over: AVNRT ... disease • Severe bradycardia ... #Palpitations #Cardiology
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
The probable cause ... delegate task of evaluating ... • Check ECG rhythm ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management
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