17 results
Intraoperative Bleeding from Myocardial Free Wall Rupture secondary to extensive Myocardial Infarction

- Dr. Joaquin Gundelach @JoacoGundelach

#Bleeding
Free Wall Rupture secondary ... #Bleeding #thoracic ... #surgery #CTS # ... rupture #cardiac
Hypothermic Cardiac Arrest Management
"Not dead until 32° and dead"
1) Start ACLS + Rewarming
2) Should this code
Hypothermic Cardiac ... Arrest Management ... Irrigation (1°/hr) 7) Thoracic ... #Hypothermic #Cardiac ... #treatment #checklist
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
disease • Cardiac ... surgery/catheterization ... • Thoracic ... deficit • Shock Treatment ... #vascular
Aortic Dissection - Diagnosis and Acute Management
Pain: Chest, Back, Abdo, Migrating, Above & below diaphragm, Abrupt
Diagnosis and Acute Management ... Diagnose with CTA ... Call CV Surgeon. ... #treatment #aorta ... #vascular
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
exam Determine Cardiac ... - Peripheral vascular ... upper abdominal/thoracic ... postoperative cardiac ... medical and surgical management
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
unexplained loss of cardiac ... removal – consult vascular ... surgeon Consider ... N2O • Tell surgeon ... Intraoperative #Checklist
Syphilis - Clinical Manifestations and Treatment

1) Primary Syphilis
 • Direct lesion contact during sex is responsible
. 2) Secondary ... Symmetric macular ... Aortitis, ascending thoracic ... : • Primary, secondary ... stages #diagnosis #management
Pheochromocytoma - Diagnosis and Management Summary
10 percent rule = 10% of pheochromocytomas are extra-adrenal, multiple, bilateral,
and Signs: 50% pts ... , and, rarely, secondary ... of anesthesia, surgery ... and then surgery ... #treatment
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
cardiothoracic surgery ... thoracotomy is a better treatment ... Plan definitive management ... Intraoperative #Checklist ... #Diagnosis #Management
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
delivery • Pause surgery ... consider: o Cardiac ... valvular problem ... Intraoperative #Checklist ... #Diagnosis #Management