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cardiology anesthesia anesthesiology checklist intraoperative clinical differential treatment criticalcare foamed tamponade ventricular a4c algorithm complex effusion fibrillation myocarditis neurology pericardial
Myocarditis - Diagnosis and Causes • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
coronary syndrome, Cardiac ... Paraclinical assessment: EKG ... Troponin Increases, Cardiac ... Characteristic features ... #Causes #cardiology
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
Myocarditis Diagnosis ... gallop • Abnormal ECG ... , echocardiogram ... shock, sudden cardiac ... #Management #Cardiology
Syncope Cost-Effectiveness Workup Cost-effective tests for most patients: • Orthostatic BP • ECG • Telemetry (if
Cost-Effectiveness Workup ... • Ambulatory ECG ... specific high risk features ... indications: • Echocardiogram ... EricsMedicalLectures/ #Syncope #diagnosis
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... • Diagnostic ... features are shown ... Plan definitive management ... #Management #Workup
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 #Workup
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
consider: o Cardiac ... Anaphylaxis → 3-1 o Cardiac ... Sepsis → 3-14 o Cardiac ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Cardiac Stress Testing Exercise: • Everyone who can exercise should! • They must be able to raise
Cardiac Stress Testing ... production to cause ... : EKG ($), ECHO ... Stress #Testing #cardiology ... #management #diagnosis
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
maintained fever CAUSES ... amphetamines) Toxic: • Radiologic ... #Differential #Causes ... Anesthesia #Checklist #Diagnosis ... #Management #Workup
Constrictive Pericarditis on Echocardiogram A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
to workup right-heart ... There were classic features ... expiration not meeting diagnostic ... #a4c #pocus #clinical ... #cardiology
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 Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexpected cardiac ... arrest where other causes ... alternate vasopressor (e.g ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
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