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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Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or β‰₯ 39 C this is a
Peri-operative Hyperthermia ... Treatment depends ... #Anesthesiology ... Anesthesia #Checklist #Diagnosis ... #Management #Workup
Fever vs Hyperthermia
Fever:
 β€’ Regulated in the hypothalamic thermoregulatory center
 β€’ "Set point" raised by prostaglandin
Neuroleptic malignant syndrome ... ; Serotonin syndrome ... β€’ Treatment: ... #comparison #diagnosis ... #management #treatment
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
β€’ Diagnostic ... thoracotomy is a better treatment ... Plan definitive management ... Cardiac #Tamponade #Anesthesiology ... #Management #Workup
Malignant Hyperthermia Crisis - Guidelines for Crises in Anaesthesia
Unexplained increase in ETCO2 AND tachycardia AND increased
other, more common causes ... ❹ Call for MH treatment ... #Crisis #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Streptococcal Toxic Shock Syndrome (STSS)
Complication of invasive GAS disease characterized by shock & MOF β†’ occurs
Streptococcal Toxic Shock Syndrome ... GAS in 30% of cases ... 50% in nec fasc Diagnostic ... #STSS #treatment ... #management #diagnosis
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 β€’ Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
high WBC count cause ... organ damage β€’ Treatment ... unless worrisome EKG ... #TLS #diagnosis ... #management #hematology
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
β€’ Unexplained hypotension
β€’ Unexplained bronchospasm (wheeze may be absent
trolley, anaphylaxis treatment ... require prolonged treatment ... #Anaphylaxis #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Intraoperative  Bradycardia - Guidelines for Crises in Anaesthesia
Bradycardia in theatre should not be treated as
remember to tailor treatment ... hyperkalaemia, hypothermia ... #Bradycardia #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Cardiac Arrest - Guidelines for Crises in Anaesthesia

The probable cause is one or more of: something
β€’ Check ECG rhythm ... hyperkalaemia Hypothermia ... #Differential #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia
Tachycardia in theatre is often due to inadequate depth
remember to tailor treatment ... -1); malignant hyperthermia ... #Tachycardia #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup