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diagnosis checklist intraoperative management workup cardiology cardiac differential clinical echocardiogram fibrillation pocus tachycardia ultrasound vfib anaesthetic anaphylaxis bradyarrhythmia bradycardia cardiacarrest
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
, particularly ventricular ... Call for cardiac arrest ... CM5 continuous ECG ... Obtain a 12-lead ECG ... Ischemia #Ischaemia #Anesthesiology
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 ... Intubation #Difficult #Anesthesiology ... #Anesthesia #Intraoperative
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia Signs of severe toxicity: • Sudden alteration in
Guidelines for Crises ... , asystole and ventricular ... If circulatory arrest ... Anaesthetic #Toxicity #Anesthesiology ... #Anesthesia #Intraoperative
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
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
Unexpected cardiac arrest ... Call for cardiac arrest ... mmHg or cardiac arrest ... alternate vasopressor (e.g ... #Anaphylaxis #Anesthesiology
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 Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
pulse or impending arrest ... obtain 12-lead ECG ... : central line/wire ... #Tachycardia #Anesthesiology ... #Anesthesia #Intraoperative
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... supraventricular or ventricular ... tachycardia • Ventricular ... maneuvers: SVT-AVNRT ... Red Flag Symptoms
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
Approach to ECGs ... (4) SA node arrest ... 200ms from longer pause ... can function) Wide ... Distal AV block - ventricular
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia Outcome from cardiac arrest is determined by
Guidelines for Crises ... Obtain 12-lead ECG ... Guidelines for crises ... #Anesthesiology ... #Anesthesia #Intraoperative
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