13 results
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 ... Intraoperative #Checklist ... #Diagnosis #Management
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... artery (LMCA). left anterior ... predictor of recurrent ischemic ... aVR • Classic EKG ... #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs - Ischemia ... wave inversion in avL ... - early inferior ... #ECG #EKG #diagnosis ... electrocardiogram #cardiology
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
AKI, acute limb ischemia ... , bowel infarction ... unless worrisome EKG ... Syndrome #TLS #diagnosis ... #management #hematology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Infarction  Ischemic ... Symptoms  EKG ... ACTIVATE CATH LAB ... DCSI #Initiative #Management ... #Cardiology
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
reservoir bag and APL ... consider: o Cardiac ... ischaemia → 3-12 ... Intraoperative #Checklist ... #Diagnosis #Management
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
: • New cardiac ... Early embolic/ischemic ... occlusion that may lead ... ↑ ESR, CRP • EKG ... #management #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
history of: a) Ischemic ... indicated • EKG ... Obtain EKG if: ... medical and surgical management ... stratification #diagnosis
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia
Outcome from cardiac arrest is determined by
. ❺ Obtain 12-lead ... ECG and discuss ... with cardiology ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia
Tachycardia in theatre is often due to inadequate depth
reservoir bag and APL ... ECG if possible ... hypovolaemia; primary cardiac ... Intraoperative #Checklist ... #Diagnosis #Management