Chief Consultant, Internal Department of Třebíč Hospital, Třebíč, Czech Republic
This interactive algorithm describes very realistically a quite common situation, which can happen during operation to every anaesthesiologist. Bradycardias are always critical because anaesthesiologist has to make a right quick decision. Their etiology is important for prognosis of patients and for his next medical treatment. Vagal reaction on its irritation needs totally different approach than bradycardia caused by hypoxia or primary heart rhythm disorder. This model situation is using realistic information from monitors and tests results. A doctor solving this algorithm can do his own diagnosis and chose the right approach. The outcome of this algorithm is well created memory track with prompt recall in critical situation. Positive impact on patient is unambiguous. Great advantage of this interactive algorithm is its complexity. It shows not only operation complications but also therapy possibilities of this model hearth disease after stabilising the patient. Moreover, you will get to know typical ECG for used condition, induction to anaesthesia and transvenous cardiac pacing by interactive pictures and videos in this algorithm.