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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Intraoperative Sepsis - Guidelines for Crises in Anaesthesia

Severe sepsis (hypotension persisting after initial fluid challenge of
Intraoperative Sepsis ... steps. ❽ Insert central ... anaesthesia #Sepsis #Anesthesiology ... #Checklist #Diagnosis ... #Management #Workup
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 β€’ Head Impulse: Head thrust 10Β° with eyes
Distinguishing Central ... TylerLarsenMD #HINTS #physicalexam ... #Vertigo #diagnosis ... #neurology #bppv ... #comparison #table
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
Intraoperative Circulatory ... possible β€’ If central ... Embolism #VTE #Anesthesiology ... #Anesthesia #Intraoperative ... #Checklist #Diagnosis
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
with a peripheral cause ... patients with a central ... cause of AVS. ... #Diagnosis #PhysicalExam ... #Neurology #AVS
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
, e.g. central line ... Plan definitive management ... Cardiac #Tamponade #Anesthesiology ... #Anesthesia #Intraoperative ... #Management #Workup
Intraoperative Massive Blood Loss - Guidelines for Crises in Anaesthesia
Expected or unexpected major haemorrhage

❢ Call for
Intraoperative Massive ... intravenous access. ❹ Control ... BloodLoss #Hemorrhage #Anesthesiology ... #Checklist #Diagnosis ... #Management #Workup
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia
Signs of severe toxicity:
 β€’ Sudden alteration in
Guidelines for Crises ... Anaesthetic #Toxicity #Anesthesiology ... #Anesthesia #Intraoperative ... #Checklist #Diagnosis ... #Management #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
β€’ Unexplained hypotension
β€’ Unexplained bronchospasm (wheeze may be absent
Intraoperative Anaphylaxis ... as patient is stable ... #Anaphylaxis #Anesthesiology ... #Checklist #Diagnosis ... #Management #Workup
High Central Neuraxial Block - Guidelines for Crises in Anaesthesia
β€’ Can occur with deliberate or accidental
High Central Neuraxial ... Neuraxial #Block #Anesthesiology ... #Anesthesia #Intraoperative ... #Checklist #Diagnosis ... #Management #Workup
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia
Tachycardia in theatre is often due to inadequate depth
Intraoperative Tachycardia ... Also consider: central ... #Tachycardia #Anesthesiology ... #Checklist #Diagnosis ... #Management #Workup