Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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Updated phenobarbital alcohol withdrawal protocol

See old algorithm here: https://www.grepmed.com/images/1485/phenobarbital-monotherapy-withdrawal-management-algorithm-pulmcrit-protocol

The protocol was consequently modified as shown below,
old algorithm here ... phenobarbital-monotherapy-withdrawal-management-algorithm-pulmcrit-protocol ... After the patient ... #Management #Alcohol ... #Monotherapy #Algorithm
Phenobarbital monotherapy algorithm for alcohol withdrawal

** EDIT - SEE UPDATED ALGORITHM HERE:
https://www.grepmed.com/images/4060/phenobarbital-monotherapy-withdrawal-management-algorithm-protocol-pulmcrit

-Phenobarbital monotherapy has numerous advantages
- SEE UPDATED ALGORITHM ... phenobarbital-monotherapy-withdrawal-management-algorithm-protocol-pulmcrit ... suggests that the patient ... #Management #Alcohol ... #Protocol #PulmCrit
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Airway Intubation Checklist
GATHER/TEST EQUIPMENT: NC, BVM + PEEP Valve, Free flowing IV, EKG, SpO2 monitor, ETT
Checklist GATHER ... o Place tube, withdraw ... MANAGEMENT o ... #checklist #criticalcare ... #airway #management
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or β‰₯ 39 C this is a
β€’ Excessive insulation ... neurotoxicity β€’ Alcohol withdrawal ... #Hyperthermia #Differential ... Anesthesiology #Anesthesia #Checklist ... #Diagnosis #Management
Myasthenic Crisis Checklist - Myasthenia Gravis

Evaluation 
 - Chest X-ray and lung ultrasound (exclude other lung
Myasthenic Crisis Checklist ... Phos), CBC with differential ... - Intubation ... DO NOT wake up patient ... #Management #CriticalCare
Airway Intubation Checklist
GATHER/TEST EQUIPMENT: NC, BVM + PEEP Valve, Free flowing IV, EKG, SpO2 monitor, ETT
Checklist GATHER ... o Place tube, withdraw ... MANAGEMENT o ... #checklist #criticalcare ... #airway #management
Increased Airway Pressure - Guidelines for Crises in Anaesthesia

Using these steps from start to end should
β€’ Isolate patient ... oedema; bronchial intubation ... Airway #Pressure #Differential ... Intraoperative #Checklist ... #Diagnosis #Management
Emergency Evacuation  - Guidelines for Crises in Anaesthesia
Anaesthetised or sedated patient requires unplanned transfer because
❢ Consider if patient ... Consider tracheal intubation ... Intermittent bolus propofol ... Intraoperative #Checklist ... #Management