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diagnosis management checklist intraoperative workup cardiology differential anaphylaxis arrhythmias avrt cico clinical difficult ekg electrocardiogram embolism embolus hypotension intubate intubation
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
Arrhythmias - Differential Diagnosis Algorithm Bradyarrhythmia (<60 bpm) • Sinus Bradycardia • Sick Sinus Syndrome • SA
Differential Diagnosis Algorithm ... Aflutter • AVNRT ... - Wide Complex ... aberrancy - Wide ... #causes
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Converts - Probably AVnRT ... Control rate (e.g ... Treat underlying cause ... Treat underlying cause ... management #cardiology #algorithm
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 ... Anesthesiology # ... Anesthesia #Intraoperative
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
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
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
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexplained tachycardia ... arrest where other causes ... as a possible cause ... alternate vasopressor (e.g ... #Anaphylaxis #Anesthesiology
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