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diagnosis management anesthesia checklist intraoperative cardiology electrocardiogram endocarditis equivalents airway cardiac cardiacarrest causes cyanosis hyperthermia hypotension hypoxia increased infectiousdiseases interpretation
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
Approach to ECGs ... = Biomarkers + ECG ... #ECG #EKG #diagnosis ... electrocardiogram #cardiology ... Interpretation #differential
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... rapidly complete the surgery ... #Ischaemia #Anesthesiology
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... deviation) • Acute ischemia ... #Equivalents #ECG ... #EKG #diagnosis ... #differential #
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... malignant syndrome (e.g ... #Hyperthermia #Differential ... #Causes #Anesthesiology
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
delivery • Pause surgery ... and positioning (e.g ... : o Cardiac ischaemia ... Endocrine cause (eg ... #Anesthesiology
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
• Consider surgery ... blood gas, 12-lead ECG ... Airway #Pressure #Differential ... #Anesthesiology ... Diagnosis #Management #Workup
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
the reason for surgery ... • Check ECG rhythm ... CardiacArrest #Checklist #Differential ... #Anesthesiology ... Diagnosis #Management #Workup
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Early embolic/ischemic ... Marantic (NTBE) Differential ... ↑ ESR, CRP • EKG ... Antibiotics • Surgery ... Viridans Surgery
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
delivery • Pause surgery ... blood gas, 12-lead ECG ... o Cardiac ischaemia ... Hypoxia #Cyanosis #Anesthesiology ... #Management #Workup
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
- Overview and Differential ... Early embolic/ischemic ... ↑ ESR, CRP • EKG ... antibiotics • Surgery ... Viridans Surgery
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