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 intraoperative cardiology algorithm anaesthetic anaphylaxis cardiacarrest central classification compared comparison dermatology erythemas high hyperthermia hypotension local neuraxial
Bradycardia Diagnostic and Management Algorithm CONSIDER ETIOLOGY (not inclusive): - STRUCTURAL: sick sinus, AV block, ischemia,
and Management ... sick sinus, AV block ... LIFE THREATENING CAUSES ... TREATMENT - Drugs ... #Differential
Shock - Differential Diagnosis by Classification Reflex Syncope - Vasovagal syncope • Prolonged standing
Shock - Differential ... Bradyarrhythmias • Sinus bradycardia ... • AV block ... Classification #Table ... #Causes
Bradycardia 1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
Pain • ECG: Bad block ... sedative & pain medication ... Patients DIE: Drugs ... #diagnosis #differential ... #management #cardiology
High Central Neuraxial Block - Guidelines for Crises in Anaesthesia • Can occur with deliberate or accidental
Central Neuraxial Block ... local anaesthetic drugs ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
could have made a drug ... Consider known drug ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup #Cardiology
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
effects of neuraxial block ... #Hypotension #Differential ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
tachycardia or bradycardia ... annotate notes/drug ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
anaphylaxis (→ 3-1) Drug ... #Hyperthermia #Differential ... #Anesthesia #Checklist ... #Diagnosis #Management ... #Workup
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia Signs of severe toxicity: • Sudden alteration in
collapse: sinus bradycardia ... , conduction blocks ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
reminders about drugs ... : Vagal tone Drug ... #Differential # ... #Diagnosis #Management ... #Workup
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