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diagnosis checklist intraoperative management cardiac differential anaphylaxis arrest avrt bradycardia cico clinical cooling difficult ekg electrocardiogram embolism embolus 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 ... Is it wide or narrow ... @EM_RESUS #AVRT ... #Cardiology #EKG
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
obtain 12-lead ECG ... : central line/wire ... Anesthesiology # ... Anesthesia #Intraoperative ... Diagnosis #Management #Workup
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 ... #Palpitations #Cardiology
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 ... #Differential #Anesthesiology ... #Anesthesia #Intraoperative ... Diagnosis #Management #Workup
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
CM5 continuous ECG ... Obtain a 12-lead ECG ... consultation with cardiology ... Ischemia #Ischaemia #Anesthesiology ... Diagnosis #Management #Workup
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 ... Intubation #Difficult #Anesthesiology ... #Anesthesia #Intraoperative ... Diagnosis #Management #Workup
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 ... Diagnosis #Management #Workup
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 ... Diagnosis #Management #Workup
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
Consider known drug causes ... (eg. remifentanil ... #Bradycardia #Anesthesiology ... Diagnosis #Management #Workup ... #Cardiology
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia Outcome from cardiac arrest is determined by
Obtain 12-lead ECG ... and discuss with cardiology ... Cardiac #Arrest #Anesthesiology ... #Anesthesia #Intraoperative ... Diagnosis #Management #Workup
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