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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Hypoxia and Hypoxemia - Overview
Hypoxia - insufficient oxygen delivered to tissues to meet demands
Hypoxemia - low
(e.g low cardiac ... carrying capacity (e.g ... #Hypoxemia #summary ... #pulmonary #differential ... #diagnosis #causes
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or β‰₯ 39 C this is a
maintained fever CAUSES ... Intracranial blood β€’ Hypoxic ... #Differential #Causes ... #Checklist #Diagnosis ... #Management #Workup
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
Causes: thrombus ... , tachycardia, hypoxemia ... over 2 h (>65 kg ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
leading to increased pulmonary ... congestion with hypoxemia ... consistent with pulmonary ... Syndrome #ARDS #Summary ... #CheatSheet #Diagnosis
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia

Severe sepsis (hypotension persisting after initial fluid challenge of
within 1 h (seek microbiology ... devices could have caused ... cultures if possible (eg ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia
Using these steps from start
should identify any cause ... blood gas, 12-lead ECG ... o Aspiration, pulmonary ... Intraoperative #Checklist #Diagnosis ... #Workup #Management
Increased Airway Pressure - Guidelines for Crises in Anaesthesia

Using these steps from start to end should
blood gas, 12-lead ECG ... o Aspiration, pulmonary ... Anesthesiology #Anesthesia ... 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 ... POTENTIAL CAUSES ... 4 H’s, 4 T’s: Hypoxia ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Intraoperative Laryngospasm and Stridor - Guidelines for Crises in Anaesthesia

❢ Call for help and inform theatre
obstructing the airway, e.g ... Consider other causes ... negative-pressure pulmonary ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Ventilator Troubleshooting Summary
High PIP, nl Pplat:
 - DDx: Tubing problem, Bronchospasm, Secretions
 - Next Steps: Check
Troubleshooting Summary ... Bronchodilators/Steroids Hypoxemia ... Treat underlying cause ... Troubleshooting #diagnosis ... #management #pulmonary