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diagnosis anesthesia intraoperative workup cardiology differential anaphylaxis cardiac cico difficult embolism embolus hyperkalemia hypotension intubate intubation ischaemia ischemia k nephrology
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... dysfunction • Bradycardia-tachycardia ... Valvular disease (e.g ... maneuvers: SVT-AVNRT ... Red Flag Symptoms
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... Intraoperative #Checklist ... #Diagnosis #Management
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 ... Embolism #VTE #Anesthesiology ... Intraoperative #Checklist
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
Consider known drug causes ... (eg. remifentanil ... #Anesthesiology ... Intraoperative #Checklist ... #Diagnosis #Management
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 ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
obtain 12-lead ECG ... : central line/wire ... #Anesthesiology ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexplained tachycardia ... or bradycardia ... alternate vasopressor (e.g ... Intraoperative #Checklist ... #Diagnosis #Management
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia This is the last resort when
optimal airway management ... airway expertise e.g ... Intubation #Difficult #Anesthesiology ... Intraoperative #Checklist ... #Diagnosis #Management
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
palpitations, bradycardia ... heparinized tube) • ECG ... badness): Peak T, flat ... only if no clear cause ... Monitor for tachycardia
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