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diagnosis anesthesia anesthesiology intraoperative workup cardiology algorithm anaphylaxis avrt cardiac differential ekg electrocardiogram embolism embolus narrowcomplex palpitations stable supraventricular svt
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 ... #Clinical
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Converts - Probably AVnRT ... or AVRT - Observe ... Treat underlying cause ... Treat underlying cause ... #Treatment #management
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... maneuvers: SVT-AVNRT ... or AVRT • Standing ... bending over: AVNRT ... Red Flag Symptoms
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
in Anaesthesia Causes ... : hypotension, tachycardia ... Consider thrombolysis e.g ... Intraoperative #Checklist ... #Diagnosis #Management
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
effusion fluid or air ... help and inform clinical ... Plan definitive management ... Intraoperative #Checklist ... #Diagnosis #Management
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 ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexplained tachycardia ... alternate vasopressor (e.g ... an appropriate critical ... Intraoperative #Checklist ... #Diagnosis #Management
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