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management differential anesthesia anesthesiology checklist electrocardiogram anaphylaxis bradyarrhythmia cardiac clinical complexes criticalcare definition foamed hyperkalemia icu ischaemia ischemia k narrowcomplex
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
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
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
arrhythmia syndromes (e.g ... Hypomagnesemia • Hypokalemia ... 300 = NSVT EKG ... more intensive treatment ... #differential #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
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Na delivery): CHF ... reabsorption) Workup ... heparinized tube) • ECG ... only if no clear cause ... Monitor for tachycardia
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexplained tachycardia ... or bradycardia ... alternate vasopressor (e.g ... #Checklist #Diagnosis ... #Management #Workup
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
remember to tailor treatment ... (eg. remifentanil ... #Checklist #Diagnosis ... #Management #Workup ... #Cardiology
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
Intraoperative Tachycardia ... remember to tailor treatment ... obtain 12-lead ECG ... #Checklist #Diagnosis ... #Management #Workup
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