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diagnosis anesthesia workup intraoperative cardiac neurology anaphylaxis barre cardiomyopathy complexes cooling criticalcare encephalopathy foamed guillain guillainbarre heartfailure hyperthermia icu ischaemia
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 ... #Treatment #management ... #cardiology #algorithm
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
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexplained tachycardia ... or bradycardia ... alternate vasopressor (e.g ... Intraoperative #Checklist ... #Diagnosis #Management
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 Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
Call for cardiac arrest ... lead ECG machine ... CM5 continuous ECG ... Obtain a 12-lead ECG ... consultation with cardiology
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 ... #Anesthesiology ... #Workup #Cardiology
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
remember to tailor treatment ... pulse or impending arrest ... obtain 12-lead ECG ... #Anesthesiology ... #Diagnosis #Management
Guillain-Barre Syndrome - Summary Acute AIDP that presents with rapidly progressive flaccid weakness Epidemiology: • 1-2 cases/100,000 per
Epidemiology: • 1-2 cases ... hyponatremia, bradycardia ... urinary retention, tachycardia ... Electrodiagnostic studies - EMG ... #diagnosis #management
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia Outcome from cardiac arrest is determined by
Guidelines for Crises ... Obtain 12-lead ECG ... cardiology if percutaneous ... #Anesthesiology ... Intraoperative #Checklist
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