Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief ๐Ÿ‡ต๐Ÿ‡ญ ๐Ÿ‡บ๐Ÿ‡ธ - 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 Anaphylaxis - Guidelines for Crises in Anaesthesia
โ€ข Unexplained hypotension
โ€ข Unexplained bronchospasm (wheeze may be absent
Intraoperative Anaphylaxis ... โ€ข Unexpected cardiac ... arrest, start CPR ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
ischaemia โ†’ 3-12 o Anaphylaxis ... โ†’ 3-1 o Cardiac ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or โ‰ฅ 39 C this is a
maintained fever CAUSES ... Allergic reaction / anaphylaxis ... #Differential #Causes ... #Checklist #Diagnosis ... #Management #Workup
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... indicated, start CPR ... โ€ข Diagnostic ... Plan definitive management ... #Management #Workup
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
Guidelines for Crises ... consultation with cardiology ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Cardiac Arrest - Guidelines for Crises in Anaesthesia

The probable cause is one or more of: something
Cardiac Arrest - ... 10) Acidosis Anaphylaxis ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Intraoperative Bronchospasm - Guidelines for Crises in Anaesthesia

โถ Call for help and inform theatre team of
Guidelines for Crises ... intubation. โผ If anaphylaxis ... Consider alternate diagnoses ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Increased Airway Pressure - Guidelines for Crises in Anaesthesia

Using these steps from start to end should
should identify any cause ... Bronchospasm โ†’ 3-4 o Anaphylaxis ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Canโ€™t Intubate, Canโ€™t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia
This is the last resort when
optimal airway management ... trolley and then cardiac ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia

Severe sepsis (hypotension persisting after initial fluid challenge of
likely underlying cause ... devices could have caused ... Consider monitoring cardiac ... Intraoperative #Checklist #Diagnosis ... #Management #Workup