13 results
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
hypertension, tachy- or bradycardia ... symptoms may include chest ... CM5 continuous ECG ... consultation with cardiology ... Checklist #Diagnosis #Management
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
Bradycardia 1) ... SOB from CHF, Chest ... Ischemia? ... #diagnosis #differential ... #management #cardiology
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
Bradycardia - Differential ... Glucose/Temp • ACS ... • Myocardial ischemia ... • His-Purkinje Fiber ... #differential #
Intraoperative  Bradycardia - Guidelines for Crises in Anaesthesia
Bradycardia in theatre should not be treated as
Breathing • Check chest ... reservoir bag and APL ... known drug causes (eg ... Checklist #Diagnosis #Management ... #Workup #Cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
- Ischemia MI ... asymmetrical, similar or bigger ... wave inversion in avL ... electrocardiogram #cardiology ... Interpretation #differential
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
Breathing • Check chest ... reservoir bag and APL ... : o Cardiac ischaemia ... #Hypotension #Differential ... Checklist #Diagnosis #Management
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... of the leads l, aVL ... deviation) • Acute ischemia ... #differential # ... cardiology #electrocardiogram
Cardiac Arrest - Guidelines for Crises in Anaesthesia

The probable cause is one or more of: something
reservoir bag and APL ... • Check ECG rhythm ... CardiacArrest #Checklist #Differential ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
• Unexplained hypotension
• Unexplained bronchospasm (wheeze may be absent
tachycardia or bradycardia ... pack. ❸ Remove all ... arrest, start CPR ... alternate vasopressor (e.g ... Checklist #Diagnosis #Management
Increased Airway Pressure - Guidelines for Crises in Anaesthesia

Using these steps from start to end should
reservoir bag and APL ... blood gas, 12-lead ECG ... Airway #Pressure #Differential ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management