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diagnosis anesthesiology cardiology checklist intraoperative workup perioperative preoperative risk stratification anaphylaxis bleeding cardiacarrest catheterization complications evaluation hypotension ischaemia ischemia palpitations
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
hypertension, tachy- or bradycardia ... CM5 continuous ECG ... Obtain a 12-lead ECG ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management
Cardiac Stress Testing Exercise: • Everyone who can exercise should! • They must be able to raise
Cardiac Stress Testing ... Contraindications: - Bradycardia ... heartblock w/o pacemaker ... arrythmias Diagnostics: EKG ... Testing #cardiology #management
Bradycardia 1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
Bradycardia 1) ... Set pacemaker to ... SarahFoohey #bradycardia ... #diagnosis #differential ... #management #cardiology
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
consider: o Cardiac ... Sepsis → 3-14 o Cardiac ... #Hypotension #Differential ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
tachycardia or bradycardia ... • Unexpected cardiac ... alternate vasopressor (e.g ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
Cardiac Arrest - ... • Check ECG rhythm ... CardiacArrest #Checklist #Differential ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
Palpitations - Differential ... exam • 12-lead ECG ... Nonarrhythmic Cardiac ... valve prolapse • Pacemaker-mediated ... Palpitations #Cardiology #Differential
Post Cardiac Catheterization Complications Access site complications • Hematoma - Pain, swelling, bruising • Retroperitoneal bleed -
Post Cardiac Catheterization ... bleed - Lower abdominal ... pain, pallor, paresthesia ... - Hypotension, bradycardia ... Complications #cardiology #differential
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
complications from anesthesia ... exam Determine Cardiac ... undergoing AAA or upper abdominal ... postoperative cardiac ... medical and surgical management
Bleeding Risk for Various Invasive/Surgical Procedures Low Risk: • Dental extractions (1 or 2 teeth), endodontic (root
• Permanent pacemaker ... • Other intra-abdominal ... spinal or epidural) anesthesia ... or spinal) • Cardiac ... • Major intra-abdominal
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