Perioperative Myocardial Infarction

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Conclusions• If you want to get rich, find out how todecrease incidences/severity of MIs by: Develop cardio-protective medications Create less invasive procedures Design monitoring resistant to interference Develop stress reducing anesthetic techniques
Forget everything already???• Look for: Ectopy Rhythm change• Run 12 lead & Send troponin• 100% 02, Aspirin/BB/CCB/nitrate• Aim for HR < 70, normotensive• Notify surgeon• Determine Cause (Anemia, embolism, Etc.)
Page 1 and 2: PERIOPERATIVEMYOCARDIAL INFARCTION
Page 3 and 4: Objectives• Examine prevalence an
Page 8 and 9: Additional Risk factors• High ris
Page 11: Preoperative Assessment• Six step
Page 15 and 16: Intraoperative Diagnostics• Diagn
Page 18 and 19: Etiology• Surgically induced Proi
Page 20 and 21: Signs and Symptoms• Hemodynamic:
Page 22 and 23: Differential Diagnosis• MI may pr
Page 24: Intraoperative Prevention• Mainta
Page 27 and 28: BETA BLOCKERS• BB: Use in high ri
Page 29 and 30: Impending Cardiogenic Shock• Earl
Page 31 and 32: Postop Management• Catecholamine
Page 33: Conclusions• Anesthetists must be
Page 37 and 38: REFERENCES• Adesanya, A., de Lemo
Page 39 and 40: REFERENCES• Barash, P. G., Cullen

Perioperative Myocardial Infarction

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