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diagnosis checklist intraoperative management workup cardiac cardiology differential tachycardia anaesthetic anaphylaxis bradyarrhythmia cardiacarrest cico cooling difficult ekg electrocardiogram intubate intubation
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
hypertension, tachy- or bradycardia ... Call for cardiac arrest ... CM5 continuous ECG ... Obtain a 12-lead ECG ... Ischemia #Ischaemia #Anesthesiology
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia Signs of severe toxicity: • Sudden alteration in
Guidelines for Crises ... collapse: sinus bradycardia ... Call for cardiac arrest ... If circulatory arrest ... Anaesthetic #Toxicity #Anesthesiology
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
tachycardia or bradycardia ... Unexpected cardiac arrest ... alternate vasopressor (e.g ... #Anaphylaxis #Anesthesiology ... #Anesthesia #Intraoperative
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 ... and then cardiac arrest ... Guidelines for crises ... Intubation #Difficult #Anesthesiology
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
Guidelines for Crises ... Consider known drug causes ... (eg. remifentanil ... Anesthesiology # ... Anesthesia #Intraoperative
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
Tachyarrhythmias - HR > 100 Wide ... 60 (1) Sinus bradycardia ... (4) SA node arrest ... 200ms from longer pause ... can function) Wide
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
or iatrogenic causes ... , e.g. central line ... Call for cardiac arrest ... Cardiac #Tamponade #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 ... disease • Severe bradycardia
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
Cardiac Arrest - ... Declare “cardiac arrest ... • Check ECG rhythm ... #Differential #Anesthesiology ... #Anesthesia #Intraoperative
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 ... #Tachycardia #Anesthesiology
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