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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Mains Electricity Failure - Guidelines for Crises in Anaesthesia
Unexpected total power failure is rare and unpredictable.
β€’ If immediate evacuation ... until patient is stable ... β€’ Consider evacuation ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia
Signs of severe toxicity:
 β€’ Sudden alteration in
Guidelines for Crises ... alteration in mental ... anaesthetic (remember infusion ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
of blood, pus, effusion ... , e.g. central line ... Anesthesiology #Anesthesia ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia
Tachycardia in theatre is often due to inadequate depth
Guidelines for Crises ... rate, rhythm, perfusion ... Also consider: central ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Intraoperative Massive Blood Loss - Guidelines for Crises in Anaesthesia
Expected or unexpected major haemorrhage

❢ Call for
intravenous access. ❹ Control ... . ❼ Use rapid infusion ... Anesthesiology #Anesthesia ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
β€’ Unexplained hypotension
β€’ Unexplained bronchospasm (wheeze may be absent
an adrenaline infusion ... as patient is stable ... Anesthesiology #Anesthesia ... Intraoperative #Checklist ... Diagnosis #Management #Workup
High Central Neuraxial Block - Guidelines for Crises in Anaesthesia
β€’ Can occur with deliberate or accidental
High Central Neuraxial ... Consider other causes ... #High #Central ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Key Basic Plan - Guidelines for Crises in Anaesthesia

This Key Basic Plan will detect and identify
Guidelines for Crises ... rate, rhythm, perfusion ... #Basics #Checklist ... #ABCDs #ABCs #BasicPlan ... Diagnosis #Management #Workup
Emergency Evacuation  - Guidelines for Crises in Anaesthesia
Anaesthetised or sedated patient requires unplanned transfer because
Emergency Evacuation ... Guidelines for Crises ... Transfer on operating table ... #Patient #Evacuation ... Intraoperative #Checklist
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia
Outcome from cardiac arrest is determined by
Guidelines for Crises ... poor vital organ perfusion ... Start glycaemic control ... Intraoperative #Checklist ... Diagnosis #Management #Workup