Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - 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 Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
hypertension, tachy- or bradycardia ... consultation with cardiology ... #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
Management Algorithm ... LMCA lesion -> Cardiac ... Angina #ChestPain #Diagnosis ... #Management #Algorithm ... #Cardiology #EBM
Cardiac Stress Testing
Exercise:
 β€’ Everyone who can exercise should!
 β€’ They must be able to raise
Cardiac Stress Testing ... Contraindications: - Bradycardia ... COREIMpodcast #Cardiac ... Stress #Testing #cardiology ... #management #diagnosis
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
Bradycardia 1) ... Ischemia? ... SarahFoohey #bradycardia ... #diagnosis #differential ... #management #cardiology
Intraoperative  Bradycardia - Guidelines for Crises in Anaesthesia
Bradycardia in theatre should not be treated as
Intraoperative Bradycardia ... #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup ... #Cardiology
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia
Signs of severe toxicity:
 β€’ Sudden alteration in
collapse: sinus bradycardia ... problem. ❸ Call for cardiac ... Anaesthetic #Toxicity #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Bradycardia - Differential Diagnosis 
 β€’ Cardiac disease: Myocardial ischemia / infarction, Myocarditis, Congenital disorders, Cardiomyopathies,
Bradycardia - Differential ... Diagnosis β€’ Cardiac ... disease: Myocardial ischemia ... #Differential #Diagnosis ... #cardiology
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
consider: o Cardiac ... ischaemia β†’ 3-12 ... #Differential #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
β€’ Unexplained hypotension
β€’ Unexplained bronchospasm (wheeze may be absent
tachycardia or bradycardia ... β€’ Unexpected cardiac ... #Anaphylaxis #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia
Outcome from cardiac arrest is determined by
and discuss with cardiology ... ❾ Plan further management ... #Arrest #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup