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diagnosis checklist management workup intraoperative differential cardiology airway avrt cardiacarrest cico clinical cyanosis difficult ekg electrocardiogram embolism embolus hyperthermia hypotension
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 ... computer thinks it’s wide ... @EM_RESUS #AVRT
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
maintained fever CAUSES ... Allergic reaction / anaphylaxis ... #Differential #Causes ... #Anesthesiology ... #Anesthesia #Checklist
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
Guidelines for Crises ... obtain 12-lead ECG ... : central line/wire ... amniotic (→ 3-5); anaphylaxis ... 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 ... ischaemia → 3-12 o Anaphylaxis ... (eg steroid dependency ... #Differential #Anesthesiology
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
Intraoperative Anaphylaxis ... • Unexplained tachycardia ... alternate vasopressor (e.g ... #Anaphylaxis # ... Anesthesiology #
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... Valvular disease (e.g ... maneuvers: SVT-AVNRT ... bending over: AVNRT ... Red Flag Symptoms
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia This is the last resort when
Guidelines for Crises ... airway expertise e.g ... patient’s left hand side ... Guidelines for crises ... Intubation #Difficult #Anesthesiology
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
should identify any cause ... blood gas, 12-lead ECG ... Bronchospasm → 3-4 o Anaphylaxis ... #Differential #Anesthesiology ... #Anesthesia #Intraoperative
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Causes: thrombus ... : hypotension, tachycardia ... Consider thrombolysis e.g ... Embolism #VTE #Anesthesiology ... #Anesthesia #Intraoperative
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
The probable cause ... • Check ECG rhythm ... 10) Acidosis Anaphylaxis ... #Differential #Anesthesiology ... #Anesthesia #Intraoperative
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