12 results
Supraventricular Tachycardia EKG

Here’s a great ECG case of a 50-year-old lady who presented with palpitations

Her heart
Supraventricular Tachycardia ... great ECG case of ... Is it wide or narrow ... @EM_RESUS #AVRT ... #Cardiology #EKG
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia
Tachycardia in theatre is often due to inadequate depth
Guidelines for Crises ... pulse or impending arrest ... obtain 12-lead ECG ... : central line/wire ... Anesthesiology #
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia
This is the last resort when
Guidelines for Crises ... expertise e.g. ... and then cardiac arrest ... Guidelines for crises ... Intubation #Difficult #Anesthesiology
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
and positioning (e.g ... non-sinus → 2-7 Tachycardia ... (eg steroid dependency ... #Differential #Anesthesiology ... #Anesthesia #Intraoperative
Cardiac Arrest - Guidelines for Crises in Anaesthesia

The probable cause is one or more of: something
Cardiac Arrest - ... Declare “cardiac arrest ... Call for cardiac arrest ... • Check ECG rhythm ... #Differential #Anesthesiology
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
• Unexplained hypotension
• Unexplained bronchospasm (wheeze may be absent
• Unexplained tachycardia ... • Maintain the airway ... alternate vasopressor (e.g ... #Anaphylaxis #Anesthesiology ... #Anesthesia #Intraoperative
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 ... Red Flag Symptoms ... #Palpitations #Cardiology
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
Tachyarrhythmias - HR > 100 Wide ... (4) SA node arrest ... 200ms from longer pause ... can function) Wide ... electrocardiogram #cardiology
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
, e.g. central line ... • Maintain the airway ... Call for cardiac arrest ... Cardiac #Tamponade #Anesthesiology ... #Anesthesia #Intraoperative
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
Call for cardiac arrest ... CM5 continuous ECG ... consultation with cardiology ... Ischemia #Ischaemia #Anesthesiology ... #Anesthesia #Intraoperative