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

- Dr. Joaquin Gundelach @JoacoGundelach

#Bleeding
Intraoperative Bleeding ... Myocardial Free Wall Rupture ... #thoracic #surgery ... #CTS #rupture # ... cardiac #heart #
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
Intraoperative Cardiac ... unconscious, signs of cardiac ... rapidly complete the surgery ... Anesthesiology #Anesthesia #Intraoperative ... #Checklist #Diagnosis
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
Intraoperative Circulatory ... unexplained loss of cardiac ... consult vascular surgeon ... N2O • Tell surgeon ... #Checklist #Diagnosis
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia

Severe sepsis (hypotension persisting after initial fluid challenge of
Intraoperative Sepsis ... Consider monitoring cardiac ... abandon or limit surgery ... Anesthesiology #Anesthesia #Intraoperative ... #Checklist #Diagnosis
Cardiac Arrest - Guidelines for Crises in Anaesthesia

The probable cause is one or more of: something
something related to surgery ... the reason for surgery ... CardiacArrest #Checklist ... Anesthesiology #Anesthesia #Intraoperative ... #Checklist #Diagnosis
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
• Unexplained hypotension
• Unexplained bronchospasm (wheeze may be absent
Intraoperative Anaphylaxis ... • Unexpected cardiac ... non-essential surgery ... Anesthesiology #Anesthesia #Intraoperative ... #Checklist #Diagnosis
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
optimized before surgery ... exam Determine Cardiac ... event, follow ACC algorithm ... - what is the bleeding ... postoperative cardiac
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... cardiothoracic surgery ... • Call for cardiac ... Anesthesiology #Anesthesia #Intraoperative ... #Checklist #Diagnosis
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
delivery • Pause surgery ... consider: o Cardiac ... Sepsis → 3-14 o Cardiac ... Anesthesiology #Anesthesia #Intraoperative ... #Checklist #Diagnosis
Additional Modalities for Workup of GI Bleed (Other than EGD + Colonoscopy)

Pill endoscopy
 • Able to
bleed may obscure bleeding ... tattoo sites for future ... laparotomy with intraoperative ... GIBleed #management #gastroenterology