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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anesthesia workup intraoperative differential cardiac cardiology tachycardia airway anaesthetic anaphylaxis arrest block bloodloss bradyarrhythmia cardiacarrest central cico cooling cyanosis difficult
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
maintained fever CAUSES ... amphetamines) Toxic: • Radiologic ... #Anesthesiology ... #Anesthesia #Checklist ... #Diagnosis #Management
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
(eg. remifentanil ... #Anesthesiology ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup #Cardiology
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
hypertension, tachy- or bradycardia ... consultation with cardiology ... Ischemia #Ischaemia #Anesthesiology ... Intraoperative #Checklist ... #Diagnosis #Management
Cardiac Stress Testing Exercise: • Everyone who can exercise should! • They must be able to raise
production to cause ... Contraindications: - Bradycardia ... : EKG ($), ECHO ... Stress #Testing #cardiology ... #management #diagnosis
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
• Diagnostic ... Plan definitive management ... Cardiac #Tamponade #Anesthesiology ... Intraoperative #Checklist ... #Diagnosis #Management
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
60 (1) Sinus bradycardia ... (2) Sick Sinus Syndrome ... 200ms from longer pause ... #Tachycardia #Bradycardia ... #EKG #diagnosis
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
in Anaesthesia Causes ... over 2 h (>65 kg ... Embolism #VTE #Anesthesiology ... Intraoperative #Checklist ... #Diagnosis #Management
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
and positioning (e.g ... (eg steroid dependency ... #Differential #Anesthesiology ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
tachycardia or bradycardia ... alternate vasopressor (e.g ... #Anaphylaxis #Anesthesiology ... Intraoperative #Checklist ... #Diagnosis #Management
High Central Neuraxial Block - Guidelines for Crises in Anaesthesia • Can occur with deliberate or accidental
hypotension and bradycardia ... • Bradycardia ... Neuraxial #Block #Anesthesiology ... Intraoperative #Checklist ... #Diagnosis #Management
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