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management checklist intraoperative workup cardiology differential treatment anaphylaxis arrhythmias avrt cico clinical difficult ekg electrocardiogram embolism embolus hyperkalemia hypotension intubate
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 ... presented with palpitations ... Is it wide or narrow ... @EM_RESUS #AVRT
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
Diagnosis Framework ... Palpitations Diagnosis ... exam • 12-lead ECG ... maneuvers: SVT-AVNRT ... Red Flag Symptoms
Arrhythmias - Differential Diagnosis Algorithm Bradyarrhythmia (<60 bpm) • Sinus Bradycardia • Sick Sinus Syndrome • SA
- Differential Diagnosis ... Algorithm Bradyarrhythmia ... Aflutter • AVNRT ... - Wide Complex ... #Algorithm #causes
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 # ... #Checklist #Diagnosis
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 ... #Checklist #Diagnosis
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 ... Guidelines for crises ... Intubation #Difficult #Anesthesiology ... #Checklist #Diagnosis
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
: hypotension, tachycardia ... Consider thrombolysis e.g ... Embolism #VTE #Anesthesiology ... #Anesthesia #Intraoperative ... #Checklist #Diagnosis
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexplained tachycardia ... alternate vasopressor (e.g ... #Anaphylaxis #Anesthesiology ... #Anesthesia #Intraoperative ... #Checklist #Diagnosis
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
paresthesias, palpitations ... heparinized tube) • ECG ... badness): Peak T, flat ... only if no clear cause ... Monitor for tachycardia
Pheochromocytoma - Diagnosis and Management Summary 10 percent rule = 10% of pheochromocytomas are extra-adrenal, multiple, bilateral,
malignant, pediatric cases ... sweating, and tachycardia ... symptomatic; forceful palpitations ... procedures (eg, ... , induction of anesthesia
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