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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diagnosis anesthesia anesthesiology checklist management intraoperative cardiac clinical echocardiogram tamponade cardiology differential pericardial abcds abcs anaesthetic anaphylaxis arrest basicplan basics
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
of blood, pus, effusion ... or iatrogenic causes ... tamponade recurs. ❿ Plan ... specialist referral. ⓫ Plan ... Diagnosis #Management #Workup
High Central Neuraxial Block - Guidelines for Crises in Anaesthesia • Can occur with deliberate or accidental
Central Neuraxial Block ... • Plan to ensure ... Consider other causes ... Haemorrhage. ❼ Plan ... Diagnosis #Management #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
an adrenaline infusion ... as patient is stable ... • Plan for repeat ... feasible (Box B). ⓭ Plan ... Diagnosis #Management #Workup
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
effects of neuraxial block ... hypovolaemia or combined causes ... pressure as a cause ... rate, rhythm, perfusion ... Diagnosis #Management #Workup
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing Common causes: • Renal parenchymal disease
Causes of Secondary ... ) or IV saline infusion ... aldosterone at 4 h of infusion ... #Screening #Workup ... #table
Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - PLAX Pt sent to ED c intradialytic hypotension.
with Tamponade on POCUS ... Echocardiogram - PLAX ... frequently benign causes ... consider serious causes ... Echocardiogram #PLAX
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 Intraoperative Massive Blood Loss - Guidelines for Crises in Anaesthesia Expected or unexpected major haemorrhage ❶ Call for
Guidelines for Crises ... . ❼ Use rapid infusion ... Discuss management plan ... haematologist. ⓬ Plan ... Diagnosis #Management #Workup
Mains Electricity Failure - Guidelines for Crises in Anaesthesia Unexpected total power failure is rare and unpredictable.
Guidelines for Crises ... appropriate local plan ... until patient is stable ... Guidelines for crises ... Diagnosis #Management #Workup
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia Signs of severe toxicity: • Sudden alteration in
Guidelines for Crises ... bradycardia, conduction blocks ... anaesthetic (remember infusion ... Guidelines for crises ... Diagnosis #Management #Workup
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... normal volume-based algorithm ... with poor renal perfusion ... differential #diagnosis #table
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