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diagnosis anesthesia anesthesiology checklist workup differential heartfailure algorithm anaphylaxis arrest bradycardia chf clinical cooling criticalcare cyanosis embolism embolus endocarditis foamed
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
Intraoperative Cardiac ... is unconscious, signs ... of cardiac ischaemia ... consultation with cardiology ... Checklist #Diagnosis #Management
Bradycardia 1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
worsening brady, Signs ... Ischemia? ... Pads in AP position ... #differential #management ... #cardiology
Leukostasis vs Tumor Lysis Syndrome Leukostasis: • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
, dyspnea, +/- CXR ... AKI, acute limb ischemia ... WBC >100k, + lab signs ... unless worrisome EKG ... TLS #diagnosis #management
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Intraoperative Circulatory ... Signs: hypotension ... unexplained loss of cardiac ... in left lateral position ... Anesthesiology #Anesthesia #Intraoperative
Heart failure with Reduced Ejection Fraction (HFrEF) Clinical Presentation 1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
venous pressure, positive ... of CXR congestion ... Consider cardiac ... heartfailure #diagnosis #management ... #cardiology #pharmacology
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... indicated, start CPR ... examination and vital signs ... Plan definitive management ... Anesthesiology #Anesthesia #Intraoperative
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
Airway • Check position ... consider: o Cardiac ... ischaemia → 3-12 ... Anesthesiology #Anesthesia #Intraoperative ... Checklist #Diagnosis #Management
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
Intraoperative Anaphylaxis ... of more of the signs ... arrest, start CPR ... alternate vasopressor (e.g ... Checklist #Diagnosis #Management
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia Outcome from cardiac arrest is determined by
events. ❷ Use positive ... Obtain 12-lead ECG ... and discuss with cardiology ... ❾ Plan further management ... Anesthesiology #Anesthesia #Intraoperative
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Blood cultures are positive ... Early embolic/ischemic ... ↑ ESR, CRP • EKG ... Endocarditis #diagnosis #management ... #cardiology
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