9 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 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
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Diagnosis and Workup Algorithm ... • Pulmonary embolism ... • Cardiac tamponade ... • Esophageal rupture ... score for PE • CTA
Cardiac Arrest - Guidelines for Crises in Anaesthesia

The probable cause is one or more of: something
something related to surgery ... the reason for surgery ... Anaphylaxis (→ 3-1) Embolism ... 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
Increased Airway Pressure - Guidelines for Crises in Anaesthesia

Using these steps from start to end should
• Consider surgery ... be replaced or its ... o Circulatory embolus ... Anesthesiology #Anesthesia #Intraoperative ... #Checklist #Diagnosis
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... cardiothoracic surgery ... measures: • Fluid bolus ... Anesthesiology #Anesthesia #Intraoperative ... #Checklist #Diagnosis
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
delivery • Pause surgery ... give i.v fluid bolus ... consider: o Cardiac ... Anesthesiology #Anesthesia #Intraoperative ... #Checklist #Diagnosis
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia
Using these steps from start
Intraoperative Hypoxia ... delivery • Pause surgery ... be replaced or its ... o Circulatory embolism ... #Checklist #Diagnosis