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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Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
Intraoperative Cardiac ... consultation with cardiology ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Myocarditis
Diagnosis 
β€’ Endomyocardial biopsy (gold standard, rarely performed) 
β€’ Clinical presentation 
β€’ Cardiovascular MRI 
Clinical 
β€’
Myocarditis Diagnosis ... Abnormal ECG, echocardiogram ... shock, sudden cardiac ... death Management ... #Management #Cardiology
POCUS Pearls for Tamponade
- Pericardial Effusion
- Diastolic Right Ventricular Collapse
- Systolic Right Atrial Collapse
- Plethoric Inferior
@SAlerhand #Cardiac ... Tamponade #POCUS #Diagnosis ... #Evaluation #Cardiology ... #Effusion #Echocardiogram
β–Ί
Cardiogenic Shock - Diagnosis and Management Summary
Identifying Hypoperfusion from Cardiac Dysfunction
 β€’ Exam: Congestion vs Hypoperfusion
Cardiogenic Shock - Diagnosis ... and Management ... Hypoperfusion from Cardiac ... Studies β€’ POCUS Management ... #Management #cardiology
POCUS - Measuring Cardiac Output
1) Calculate LVOT Area
2) Calculate LVOT VTI
3) Calculate Cardiac Output

SV = (LVOT
POCUS - Measuring Cardiac ... VTI 3) Calculate Cardiac ... Output #CO #POCUS #Echocardiogram ... #Measurement #cardiology ... #diagnosis
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia
This is the last resort when
optimal airway management ... trolley and then cardiac ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... β€’ Call for cardiac ... β€’ Diagnostic ... Plan definitive management ... #Management #Workup
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
consider: o Cardiac ... Sepsis β†’ 3-14 o Cardiac ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
unexplained loss of cardiac ... mainstay of initial management ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia
Signs of severe toxicity:
 β€’ Sudden alteration in
for Crises in Anaesthesia ... problem. ❸ Call for cardiac ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis ... #Management #Workup