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diagnosis cardiology anesthesiology checklist workup intraoperative ecg ekg electrocardiogram algorithm cardiac stemi bradycardia clinical ischemia perioperative table treatment airway angina
Lead AVR on ECG 1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... anterior descending (LAD ... aVR • Classic EKG ... #differential # ... cardiology
Wraparound LAD STEMI on EKG 47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
on EKG 47 year ... The mother of all ... a PFO during a bowel ... #STEMI #EKG #clinical ... #cardiology #electrocardiogram
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Sepsis (→ 3-14) e.g ... amphetamines) Toxic: • Radiologic ... #Hyperthermia #Differential ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
trolley and 12-lead ... Obtain a 12-lead ... consultation with cardiology ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
have no pain - LAD ... avR - proximal LAD ... wave inversion in avL ... electrocardiogram #cardiology ... Interpretation #differential
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
reservoir bag and APL ... pressure, obtain 12-lead ... ECG if possible ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
reservoir bag and APL ... and positioning (e.g ... Endocrine cause (eg ... #Hypotension #Differential ... Checklist #Diagnosis #Management
Cardiac Event Monitoring Devices - Compared Ambulatory ECG (Hotter): • Advantages: Continuous recording, records asx events, all
Compared Ambulatory ECG ... records asx events, all ... (most) ECG leads ... Monitoring #Devices #Comparison ... #cardiology #management
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
reservoir bag and APL ... • Check ECG rhythm ... underlying problems and act ... CardiacArrest #Checklist #Differential ... Checklist #Diagnosis #Management
Leukostasis vs Tumor Lysis Syndrome Leukostasis: • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
have fever - ACS ... limb ischemia, bowel ... or priapism • Lab ... unless worrisome EKG ... TLS #diagnosis #management
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