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 intraoperative management workup anaphylaxis block cardiac cardiology central clinical constrictive crisis echocardiogram high hyperthermia malignant neuraxial pericarditis tamponade
High Central Neuraxial Block - Guidelines for Crises in Anaesthesia • Can occur with deliberate or accidental
• Plan to ensure ... that may mimic signs ... Neuraxial #Block #Anesthesiology ... Intraoperative #Checklist ... #Diagnosis #Management
Constrictive Pericarditis on Echocardiogram A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
ASA, Kussmaul's sign ... circumferential pericardial effusion ... expiration not meeting diagnostic ... Echocardiogram #a4c ... #pocus #clinical
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 Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
of blood, pus, effusion ... examination and vital signs ... tamponade recurs. ❿ Plan ... Cardiac #Tamponade #Anesthesiology ... Intraoperative #Checklist
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
of more of the signs ... • Plan for repeat ... #Anaphylaxis #Anesthesiology ... Intraoperative #Checklist ... #Diagnosis #Management
Malignant Hyperthermia Crisis - Guidelines for Crises in Anaesthesia Unexplained increase in ETCO2 AND tachycardia AND increased
rise is a late sign ... see Box D). ⓭ Plan ... Hyperthermia #Crisis #Anesthesiology ... Intraoperative #Checklist ... #Diagnosis #Management
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