Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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checklist diagnosis anesthesia anesthesiology intraoperative cardiac shock anaphylaxis arrest bradycardia cardiogenic chf cooling criticalcare cyanosis differential heartfailure hypoxia increased neuroprotection
Severe Heart Failure & Cardiogenic Shock - Management Checklist Evaluation - EKG & echocardiography
Evaluation - EKG ... edema - Large effusion ... (no B-lines on ultrasound ... Nephrotoxins (e.g ... channel blocker (eg
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... Setup - Ultrasound ... telemetry, 12-Lead EKG ... and Survey 4) Workup ... Tamponade - Pulmonary
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
of blood, pus, effusion ... iatrogenic causes, e.g ... • Maintain the airway ... pericardiocentesis kit (eg ... #Workup
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
rate, rhythm, perfusion ... blood gas, 12-lead ECG ... o Aspiration, pulmonary ... Checklist #Diagnosis #Management ... #Workup
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
• Confirm airway ... rate, rhythm, perfusion ... known drug causes (eg ... Checklist #Diagnosis #Management ... #Workup #Cardiology
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
rate, rhythm, perfusion ... blood gas, 12-lead ECG ... o Aspiration, pulmonary ... Checklist #Diagnosis #Workup ... #Management #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Maintain the airway ... alternate vasopressor (e.g ... an appropriate critical ... Checklist #Diagnosis #Management ... #Workup
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia Outcome from cardiac arrest is determined by
poor vital organ perfusion ... Obtain 12-lead ECG ... and discuss with cardiology ... in critical care ... #Workup
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