37 results
Ebstein's Anomaly on Echocardiogram

• Failure of the TV to "de-laminate" from the RV
• An abnormality of
universal • Anterior ... (sometimes LV too ... Ebsteins #Anomaly #A4c ... Echocardiogram #POCUS ... #clinical #cardiology
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
CM5 continuous ECG ... consultation with cardiology ... Ischemia #Ischaemia #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism on POCUS ... Triage EKG (no prior ... Differential/diagnosis ... Echocardiogram #A4c ... #clinical #cardiology
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
Consider thrombolysis e.g ... mainstay of initial management ... Embolism #VTE #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Intraoperative Massive Blood Loss - Guidelines for Crises in Anaesthesia
Expected or unexpected major haemorrhage

❶ Call for
interventional radiology ... an appropriate clinical ... BloodLoss #Hemorrhage #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia
This is the last resort when
optimal airway management ... airway expertise e.g ... Intubation #Difficult #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia

Severe sepsis (hypotension persisting after initial fluid challenge of
cultures if possible (eg ... Discuss ongoing management ... anaesthesia #Sepsis #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Intraoperative Bronchospasm - Guidelines for Crises in Anaesthesia

❶ Call for help and inform theatre team of
Other drugs at clinician ... Consider alternate diagnoses ... X-ray as soon as clinically ... anaesthesia #Anesthesiology ... #Management #Workup
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
tube ❹ Rapid diagnosis ... • Diagnostic ... Plan definitive management ... Cardiac #Tamponade #Anesthesiology ... #Management #Workup
LVOTO due to SAM on POCUS Echocardiogram

Septic patient after IV fluids and initiation of Levophed. Worsening
due to SAM on POCUS ... Diagnosis? ... Management? ... #Systolic #Anterior ... #PLAX #clinical