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diagnosis management anesthesia checklist clinical intraoperative pocus workup cardiac algorithm differential effusion pericardial ventricular a4c cardiotoxicity fibrillation malignant oncology psax
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Treatment of Stable ... Treat underlying cause ... Treat underlying cause ... #Treatment #management ... #cardiology #algorithm
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
hypovolaemia or combined causes ... pressure as a cause ... non-sinus → 2-7 Tachycardia ... ischaemia → 3-12 ... #Differential #Anesthesiology
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
Intraoperative Tachycardia ... Guidelines for Crises ... remember to tailor treatment ... pressure, obtain 12 ... #Anesthesiology
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexplained tachycardia ... arrest where other causes ... trolley, anaphylaxis treatment ... require prolonged treatment ... #Anaphylaxis #Anesthesiology
Echocardiography Right ventricular function can be assessed using several methods and echocardiography is generally the first‐line tool
TAPSE is <17 mm,12 ... of normal <35%12 ... predictive of all‐cause ... #Diagnosis #Cardiology ... #POCUS #Echocardiogram
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
heart disease Causes ... Sustained ventricular tachycardia ... Supraventricular tachycardia ... more intensive treatment ... #differential #cardiology
Malignant Hyperthermia Crisis - Guidelines for Crises in Anaesthesia Unexplained increase in ETCO2 AND tachycardia AND increased
increase in ETCO2 AND tachycardia ... other, more common causes ... ❹ Call for MH treatment ... COMPLICATIONS AND OUTLINE TREATMENTS ... Hyperthermia #Crisis #Anesthesiology
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
Guidelines for Crises ... arrest trolley and 12 ... Obtain a 12-lead ... consultation with cardiology ... Ischemia #Ischaemia #Anesthesiology
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
Physical exam • 12 ... twitching CARDIAC CAUSES ... • Bradycardia caused ... NON-CARDIAC CAUSES ... #Palpitations #Cardiology
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
Guidelines for Crises ... remember to tailor treatment ... Consider known drug causes ... #Bradycardia #Anesthesiology ... Management #Workup #Cardiology
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