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diagnosis checklist workup cardiac algorithm anaphylaxis arrest bradycardia cardiacarrest chf clinical cooling electrocardiogram elevation foamed heartfailure icu ischaemia ischemia neuroprotection
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Treatment depends ... Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... (e.g. haloperidol ... Causes #Anesthesiology
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
for Crises in Anaesthesia ... positioning (e.g ... (eg steroid dependency ... Differential #Anesthesiology ... #Anesthesia #Intraoperative
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
Intraoperative Tachycardia ... • If narrow complex ... AND not hypotensive ... obtain 12-lead ECG ... Anesthesia #Intraoperative
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
12-lead ECG machine ... CM5 continuous ECG ... Obtain a 12-lead ECG ... consultation with cardiology ... #Anesthesia #Intraoperative
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexplained tachycardia ... alternate vasopressor (e.g ... agents (allergy band ... #Anaphylaxis #Anesthesiology ... #Anesthesia #Intraoperative
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
(e.g., long QT ... Hypomagnesemia • Hypokalemia ... 300 = NSVT EKG ... more intensive treatment ... #cardiology
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 ... #Anesthesia #Intraoperative ... #Workup #Cardiology
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
• Check ECG rhythm ... Hypoxia (→ 2-2) Hypovolaemia ... hyperkalaemia Hypothermia ... #Anesthesiology ... #Anesthesia #Intraoperative
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia Outcome from cardiac arrest is determined by
Obtain 12-lead ECG ... cardiology if percutaneous ... • Avoid hyperthermia ... Cardiac #Arrest #Anesthesiology ... #Anesthesia #Intraoperative
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... sinus tachycardia ... be seen in: • Hypothermia ... #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
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