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 intraoperative workup differential anaphylaxis cardiacarrest cico cyanosis difficult embolism evacuation hypotension hypoxia intubate intubation ischaemia ischemia patient tachycardia tamponade
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
unexplained loss of cardiac ... mainstay of initial management ... Anesthesiology #Anesthesia ... Intraoperative #Checklist ... #Diagnosis #Management
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia This is the last resort when
optimal airway management ... : supply 100% oxygen ... trolley and then cardiac ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
Intraoperative Cardiac ... instability (Box A). ❹ Apply ... Anesthesiology #Anesthesia ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
hypovolaemia; primary cardiac ... ); circulatory embolus ... Anesthesiology #Anesthesia ... Intraoperative #Checklist ... #Diagnosis #Management
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
Anaphylaxis (→ 3-1) Embolism ... CardiacArrest #Checklist ... Anesthesiology #Anesthesia ... Intraoperative #Checklist ... #Diagnosis #Management
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... measures: • Fluid bolus ... Plan definitive management ... Intraoperative #Checklist ... #Diagnosis #Management
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
give i.v fluid bolus ... consider: o Cardiac ... Anesthesiology #Anesthesia ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexpected cardiac ... surgery. ❷ Call for cardiac ... pressure < 50 mmHg or cardiac ... Intraoperative #Checklist ... #Diagnosis #Management
Emergency Evacuation - Guidelines for Crises in Anaesthesia Anaesthetised or sedated patient requires unplanned transfer because
Take adequate supplies ... assemble adequate supply ... Anesthesiology #Anesthesia ... Intraoperative #Checklist ... #Management
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
o Circulatory embolism ... → 3-5 o Cardiac ... Intraoperative #Checklist ... #Diagnosis #Workup ... #Management #Workup
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