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 anesthesiology workup cardiology intraoperative echocardiogram cardiac anterior embolism fibrillation hyperthermia psax pulmonary s4c tamponade ventricular vfib accessory akinesia anaesthetic
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
Call for cardiac arrest ... tamponade recurs. ❿ Plan ... definitive management ... Intraoperative #Checklist ... #Diagnosis #Management
LVOTO due to SAM on POCUS Echocardiogram Septic patient after IV fluids and initiation of Levophed. Worsening
Diagnosis? ... Management? ... Echocardiogram #ultrasound ... #Cardiology #PLAX ... #clinical
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 Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Plan for repeat ... feasible (Box B). ⓭ Plan ... an appropriate critical ... Intraoperative #Checklist ... #Diagnosis #Management
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia Signs of severe toxicity: • Sudden alteration in
Guidelines for Crises ... inform immediate clinical ... If circulatory arrest ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Massive Blood Loss - Guidelines for Crises in Anaesthesia Expected or unexpected major haemorrhage ❶ Call for
plan between surgical ... interventional radiology ... an appropriate clinical ... Intraoperative #Checklist ... #Diagnosis #Management
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia Outcome from cardiac arrest is determined by
develop (Box B). ❾ Plan ... further management ... in critical care ... Intraoperative #Checklist ... #Diagnosis #Management
Acute Pulmonary Embolism on POCUS Echocardiogram - PLAX Here’s a recent case that demonstrates two of the
Echocardiogram - PLAX ... Here’s a recent case ... Arrests in waiting ... Echocardiogram #PLAX ... #clinical #cardiology
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 Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
39 C this is a clinical ... maintained fever CAUSES ... amphetamines) Toxic: • Radiologic ... Anesthesiology #Anesthesia #Checklist ... #Diagnosis #Management
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
Guidelines for Crises ... Call for cardiac arrest ... consultation with cardiology ... Intraoperative #Checklist ... #Diagnosis #Management
Malignant Hyperthermia Crisis - Guidelines for Crises in Anaesthesia Unexplained increase in ETCO2 AND tachycardia AND increased
other, more common causes ... dantrolene and cardiac arrest ... see Box D). ⓭ Plan ... Intraoperative #Checklist ... #Diagnosis #Management
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