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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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
phenobarbital-monotherapy-withdrawal-management-algorithm-protocol-pulmcrit ... suggests that the patient ... -If you work at ... #Management #Alcohol ... #Protocol #PulmCrit
β–Ί
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
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 ... Anesthesiology #Anesthesia #Checklist ... #Diagnosis #Management ... #Workup
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
Admitting in the ICU - Checklist ... failure, esp in work-up ... /management of shock ... PMH; consider withdrawal ... #ICU #Pearls #Checklist
Intraoperative Massive Blood Loss - Guidelines for Crises in Anaesthesia
Expected or unexpected major haemorrhage

❢ Call for
major haemorrhage protocol ... ❻ Begin active patient ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia
This is the last resort when
optimal airway management ... CICO #Intubate #Intubation ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Myasthenic Crisis Checklist - Myasthenia Gravis

Evaluation 
 - Chest X-ray and lung ultrasound (exclude other lung
Myasthenic Crisis Checklist ... - Infectious workup ... - Intubation ... DO NOT wake up patient ... #Management #CriticalCare
Intraoperative Patient Fire - Guidelines for Crises in Anaesthesia
Evidence of fire (smoke, heat, odour, flash, flame)
Intraoperative Patient ... β€’ Consider intubation ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Intraoperative Laryngospasm and Stridor - Guidelines for Crises in Anaesthesia

❢ Call for help and inform theatre
Consider tracheal intubation ... for waking the patient ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup