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anesthesiology cardiology anesthesia workup differential intraoperative cardiac perioperative angina arrest biopsy bradycardia causes cooling criticalcare edema evaluation hyperthermia hypotension hypotensive
Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
Endocarditis checklist ... block (+/- daily EKG ... • Aggressive management ... #checklist #criticalcare ... #diagnosis #management
Hypotension in Anesthesiology - Differential Diagnosis and Management Initial checklist: - Verify BP (e.g. surgeon
- Differential Diagnosis ... and Management ... Initial checklist ... - Verify BP (e.g ... Inform surgeon (ask
Myocarditis 5 Principles of Myocarditis: 1. Build clinical suspicion 2. Decide on EMBx 3. Manage acute cardiac injury 4. Manage chronic
acute cardiac injury ... Pericarditis, Tamponade EKG ... VF, Myocardial injury ... #Myocarditis #diagnosis ... #management #cardiology
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Sepsis (→ 3-14) e.g ... amphetamines) Toxic: • Radiologic ... Traumatic brain injury ... Anesthesiology #Anesthesia #Checklist ... #Diagnosis #Management
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework NCPE Pathophysiology: Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
- Differential Diagnosis ... level <100 pg/ml EKG ... pulmonary edema • Bowel ... #differential #diagnosis ... #cardiology
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Septic Emboli Cause Injury ... Diagnosis? ... ↑ ESR, CRP • EKG ... #diagnosis #management ... #cardiology
Vasospastic (Prinzmetal) Angina Definition / Epidemiology: • Rest angina attributed to coronary artery vasospasm. • Patients often
microvascular injury ... troponin elevation Diagnosis ... changes on tele/ECG ... Prinzmetal #Angina #cardiology ... #diagnosis #management
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
CM5 continuous ECG ... Obtain a 12-lead ECG ... consultation with cardiology ... Intraoperative #Checklist ... #Diagnosis #Management
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
and Differential Diagnosis ... Septic emboli cause injury ... ↑ ESR, CRP • EKG ... #Differential #Diagnosis ... #cardiology #infectiousdiseases
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
specific questions to ask ... indicated • EKG ... Obtain EKG if: ... medical and surgical management ... stratification #diagnosis
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