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workup checklist intraoperative management thromboembolism algorithm amyloid amyloidosis arrest cardiology cooling cyanosis differential embolism embolus evaluation hematology hypercoagulable hypoxia ischaemia
Approach to the Hypercoagulable State Arterial thromboembolism → Cardiac rhythm monitoring, Echocardiogram, Vascular imaging → Test for APS, particularly
thromboembolism → Cardiac ... rhythm monitoring, Echocardiogram ... thromboembolism (VTE ... • Provoked (e.g ... Workup #hematology #diagnosis
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
Intraoperative Cardiac ... Consider invasive arterial ... #Ischaemia #Anesthesiology ... #Anesthesia #Intraoperative ... #Checklist #Diagnosis
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
unexplained loss of cardiac ... Embolus #Embolism #VTE ... #Anesthesiology ... #Anesthesia #Intraoperative ... #Checklist #Diagnosis
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
Consider monitoring cardiac ... cultures if possible (eg ... #Sepsis #Anesthesiology ... #Anesthesia #Intraoperative ... #Checklist #Diagnosis
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia Outcome from cardiac arrest is determined by
❹ Insert intra-arterial ... Obtain 12-lead ECG ... #Arrest #Anesthesiology ... #Anesthesia #Intraoperative ... #Checklist #Diagnosis
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
- Differential Diagnosis ... Palpitations Diagnosis ... Nonarrhythmic Cardiac ... consciousness • Near-syncope ... , or syncope: Hemodynamically
Amyloidosis - Summary Group of disorders associated with extracellular deposition of fibrils formed from low-molecular-weight proteins in
LVH, low-voltage EKG ... Testing: • EKG ... • Echocardiogram ... disproportionate atrial ... spleen • Fecal fat measurements
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
complications from anesthesia ... indicated • EKG ... Obtain EKG if: ... • <3mo since VTE ... stratification #diagnosis
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
blood gas, 12-lead ECG ... ) → 3-12 o Cardiac ... Hypoxia #Cyanosis #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... Management #Workup #anesthesia
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