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 Anaphylaxis - Guidelines for Crises in Anaesthesia
β€’ Unexplained hypotension
β€’ Unexplained bronchospasm (wheeze may be absent
as patient is stable ... #Anesthesiology ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
ischaemia β†’ 3-12 o Anaphylaxis ... #Differential #Anesthesiology ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or β‰₯ 39 C this is a
Allergic reaction / anaphylaxis ... #Anesthesiology ... #Anesthesia #Checklist ... #Diagnosis #Management ... #Workup
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
consultation with cardiology ... Ischemia #Ischaemia #Anesthesiology ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Cardiac Arrest - Guidelines for Crises in Anaesthesia

The probable cause is one or more of: something
10) Acidosis Anaphylaxis ... CardiacArrest #Checklist ... #Differential #Anesthesiology ... #Diagnosis #Management ... #Workup
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
Plan definitive management ... #Tamponade #Anesthesiology ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia

Severe sepsis (hypotension persisting after initial fluid challenge of
devices could have caused ... Consider monitoring cardiac ... anaesthesia #Sepsis #Anesthesiology ... Intraoperative #Checklist ... #Workup
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
in Anaesthesia Causes ... unexplained loss of cardiac ... Embolism #VTE #Anesthesiology ... Intraoperative #Checklist ... #Workup
Increased Airway Pressure - Guidelines for Crises in Anaesthesia

Using these steps from start to end should
Bronchospasm β†’ 3-4 o Anaphylaxis ... #Differential #Anesthesiology ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Intraoperative Bronchospasm - Guidelines for Crises in Anaesthesia

❢ Call for help and inform theatre team of
intubation. ❼ If anaphylaxis ... anaesthesia #Anesthesiology ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup