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

- Dr. Joaquin Gundelach @JoacoGundelach

#Bleeding
Intraoperative Bleeding ... Myocardial Free Wall Rupture ... Bleeding #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
Ascites - Differential Diagnosis and Workup Algorithm

•
Perform paracentesis:
 • Cell count and diff 
 • Total
- Differential Diagnosis ... and Workup Algorithm ... and anaerobic culture ... #Differential #Diagnosis ... #Algorithm #gastroenterology
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... and Workup Algorithm ... Pulmonary embolism • Cardiac ... • Esophageal rupture ... #Algorithm #workup
Management of Abdominal Distension and Bloating - Treatment Algorithm

Definitions
Pathophysiology
Organic/Pathologic Etiologies:
 • Small Intestinal Bowel Overgrowth (SIBO)
• Prior GEJ surgery ... Fundoplication, Bariatric surgery ... Abdomino-phrenic Dyssynergia Diagnostics ... Bloating #Management #Diagnosis ... #gastroenterology
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
Diffuse Acute Abdominal Pain (<72 hours) - Differential Diagnostic Algorithm
Look for surgical abdomen
Upper quadrant: R/O cardiac,
- Differential Diagnostic ... Algorithm Look ... quadrant: R/O cardiac ... Perforation • Ruptured ... #Algorithm
Mains Electricity Failure - Guidelines for Crises in Anaesthesia
Unexpected total power failure is rare and unpredictable.
supply, duration of surgery ... Consider stopping surgery ... Consider continuing surgery ... Anesthesiology #Anesthesia #Intraoperative ... #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
Evaluation of Electrical Injury in the Emergency Department 

Common Injuries by System:

CNS - Seizure, coma, spinal
high voltage Cardiac ... (delayed), TM rupture ... Electricity #Evaluation #Diagnosis ... Management #Emergency #Algorithm