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management differential anesthesiology checklist intraoperative workup electrocardiogram cardiac anaphylaxis arrhythmias barre bradyarrhythmia cardiomyopathy clinical complexes criticalcare definition elevation evaluation foamed
Wide Complex Tachycardia - ECG Definition and Causes • Wide Complex Tachycardia (WCT) is a cardiac
- ECG Definition ... ≥ 0.12 sec • Aka ... #WCT #diagnosis ... #cardiology #ekg ... #ecg #electrocardiogram
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Control rate (e.g ... Treat underlying cause ... Control rate (e.g ... Treat underlying cause ... #cardiology #algorithm
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
200ms from longer pause ... Distal AV block - ventricular ... bradyarrhythmia #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
, particularly ventricular ... trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... consultation with cardiology
Arrhythmias - Differential Diagnosis Algorithm Bradyarrhythmia (<60 bpm) • Sinus Bradycardia • Sick Sinus Syndrome • SA
- Differential Diagnosis ... Algorithm Bradyarrhythmia ... bpm) • Sinus Bradycardia ... tachyarrhythmias #Cardiology ... #Algorithm #causes
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
arrhythmia syndromes (e.g ... heart disease Causes ... Hypomagnesemia • Hypokalemia ... 300 = NSVT EKG ... #differential #cardiology
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... dysfunction • Bradycardia-tachycardia ... Valvular disease (e.g ... Hypoglycemia • Hypovolemia ... #Palpitations #Cardiology
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexplained tachycardia ... or bradycardia ... chlorhexidine as cause ... alternate vasopressor (e.g ... Intraoperative #Checklist #Diagnosis
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
remember to tailor treatment ... Consider known drug causes ... (eg. remifentanil ... Intraoperative #Checklist #Diagnosis ... Management #Workup #Cardiology
Cardiac Stress Testing Exercise: • Everyone who can exercise should! • They must be able to raise
production to cause ... Contraindications: - Bradycardia ... Contraindications: Pts with ventricular ... : EKG ($), ECHO ... Stress #Testing #cardiology
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