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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anesthesiology checklist intraoperative differential cardiomyopathy embolism hyperthermia myocarditis tamponade algorithm anaesthetic anaphylaxis aorta aortic arrest barre block bloodloss bradycardia cardiacarrest
Myocarditis - Diagnosis and Causes • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
Clinical presentation ... coronary syndrome, Cardiac ... Troponin Increases, Cardiac ... #Causes #cardiology ... #MRI
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... help and inform clinical ... • Diagnostic ... Plan definitive management ... #Management #Workup
Hypertrophic Cardiomyopathy (HOCM) - Diagnosis and Management Diagnosis 1. Wall thickness 215 mm (TTE/CT/MRI) 2. Absence
and Management ... 215 mm (TTE/CT/MRI ... Absence of Secondary Cause ... testing, LGE on MRI ... #Management #Cardiology
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
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
consider: o Cardiac ... Anaphylaxis → 3-1 o Cardiac ... Sepsis → 3-14 o Cardiac ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
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 ... #Differential #Causes ... #Checklist #Diagnosis ... #Management #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexpected cardiac ... an appropriate critical ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Can’t Intubate, Can’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
Consider monitoring cardiac ... Discuss ongoing management ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
Myocarditis Diagnosis ... Cardiovascular MRI ... Clinical • ... shock, sudden cardiac ... #Management #Cardiology
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