Dr. Gerald Diaz @GeraldMD
23.6M 13.8K 7.2K
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 intraoperative cardiac airway anaesthetic anaphylaxis aorticregurgitation arrest awaves block bloodloss bradycardia central clinical cooling crisis cyanosis differential fingernails
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
Giant A waves caused ... by pulmonary HTN ... the underlying diagnosis ... #Neck #PhysicalExam ... Clinical #Video #Cardiology
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 Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
indicated, start CPR ... Plan definitive management ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Quincke's Pulse in a patient with a normal echocardiogram (non-valvular) A 70 y/o man presents with new
, and elevated JVP ... Workup for cause ... AorticRegurgitation #Diagnosis ... #PhysicalExam # ... Fingernails #Nailbed #Cardiology
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 Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
should identify any cause ... o Aspiration, pulmonary ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
arrest where other causes ... arrest, start CPR ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Intraoperative Massive Blood Loss - Guidelines for Crises in Anaesthesia Expected or unexpected major haemorrhage ❶ Call for
equipment. ❽ Discuss management ... interventional radiology ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
Guidelines for Crises ... consultation with cardiology ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia Signs of severe toxicity: • Sudden alteration in
Guidelines for Crises ... Start continuous CPR ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
High Central Neuraxial Block - Guidelines for Crises in Anaesthesia • Can occur with deliberate or accidental
• CPR may be ... Consider other causes ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Malignant Hyperthermia Crisis - Guidelines for Crises in Anaesthesia Unexplained increase in ETCO2 AND tachycardia AND increased
other, more common causes ... , invasive BP, CVP ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
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