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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anesthesiology diagnosis intraoperative criticalcare airway cardiac anaphylaxis arrest block cardiacarrest cardiogenic causes central chf cico cooling coronavirus covid19 crisis cyanosis
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
, tachy- or bradycardia ... trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... #Workup
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... malignant syndrome (e.g ... #Checklist #Diagnosis ... #Management #Workup
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
OR severe hypotension ... known drug causes (eg ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup #Cardiology
Severe Heart Failure & Cardiogenic Shock - Management Checklist Evaluation - EKG & echocardiography
- EKG & echocardiography ... Consider BiPAP (vS intubation ... Nephrotoxins (e.g ... channel blocker (eg ... #HeartFailure #Cardiology
High Central Neuraxial Block - Guidelines for Crises in Anaesthesia • Can occur with deliberate or accidental
airway or tracheal intubation ... Anesthesiology #Anesthesia ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Airway Intubation Checklist GATHER/TEST EQUIPMENT: NC, BVM + PEEP Valve, Free flowing IV, EKG, SpO2 monitor, ETT
Checklist GATHER ... Free flowing IV, EKG ... OPA, Suction, Video ... MANAGEMENT o ... #procedure
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia This is the last resort when
airway expertise e.g ... CICO #Intubate #Intubation ... Anesthesiology #Anesthesia ... Intraoperative #Checklist ... #Workup
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
and positioning (e.g ... Endocrine cause (eg ... #Differential # ... #Diagnosis #Management ... #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
tachycardia or bradycardia ... alternate vasopressor (e.g ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
COVID-19 Intubation Checklist Personal protective equipment (PPE) • Standard PPE • N95 or PAPR.
COVID-19 Intubation ... Checklist Personal ... dose paralytic (e.g ... Stuff • Video ... #Management #CriticalCare
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