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 checklist differential cardiac cardiology airway anaesthetic anaphylaxis arrest atrial block bradycardia cardiacarrest crisis criticalcare cyanosis ecg ekg embolism embolus
Multifocal Atrial Tachycardia (MAT) • At least 3 different P wave morphologies: • Rate 100-180 • Irregular Etiology
disease (COPD) • Hypoxia ... • Pulmonary hypertension ... Management ... condition • Rate control ... MAT #Cardiology #Diagnosis
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
Intraoperative Tachycardia ... bag moving OR ventilator ... Also consider: central ... #Anesthesiology ... #Management #Workup
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Signs: hypotension ... , tachycardia, hypoxemia ... possible • If central ... #Checklist #Diagnosis ... #Management #Workup
Intraoperative Bronchospasm - Guidelines for Crises in Anaesthesia ❶ Call for help and inform theatre team of
Intraoperative Bronchospasm ... Use appropriate ventilation ... consider → 2-2 Hypoxia ... anaesthesia #Anesthesiology ... #Management #Workup
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia Signs of severe toxicity: • Sudden alteration in
adequate lung ventilation ... therapies to treat hypotension ... #Anesthesia #Intraoperative ... #Checklist #Diagnosis ... #Management #Workup
Intraoperative Hypertension - Guidelines for Crises in Anaesthesia Hypertension is most commonly due to inappropriate depth of
Intraoperative Hypertension ... bag moving OR ventilator ... Breathing - exclude hypoxia ... #Anesthesiology ... #Management #Workup
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
Severe sepsis (hypotension ... steps. ❽ Insert central ... anaesthesia #Sepsis #Anesthesiology ... #Checklist #Diagnosis ... #Management #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexplained tachycardia ... ensure adequate ventilation ... #Anaphylaxis #Anesthesiology ... #Checklist #Diagnosis ... #Management #Workup
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
Intraoperative Hypoxia ... o Aspiration, pulmonary ... #Cyanosis #Anesthesiology ... #Checklist #Diagnosis ... #Workup #Management
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... Summary • Hypotension ... shock state) • Tachycardia ... Tamponade - Pulmonary
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