Dr. Gerald Diaz @GeraldMD
23.0M 13.7K 7.2K
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 checklist intraoperative workup differential myocarditis pocus tamponade complex echocardiogram effusion hyperthermia pericardial a4c airway algorithm amyloidosis anaesthetic anaphylaxis antecubital
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... consultation with cardiology ... #Ischaemia #Anesthesiology
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
39 C this is a clinical ... Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... malignant syndrome (e.g ... #Anesthesiology
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... , e.g. central line ... pericardiocentesis kit (eg ... Plan definitive management ... #Anesthesiology
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
and positioning (e.g ... (eg steroid dependency ... #Differential #Anesthesiology ... #Anesthesia #Intraoperative ... Checklist #Diagnosis #Management
Myocarditis - Diagnosis and Causes • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
• Clinical presentation ... coronary syndrome, Cardiac ... Paraclinical assessment: EKG ... Troponin Increases, Cardiac ... #cardiology #MRI
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Causes: thrombus ... unexplained loss of cardiac ... Consider thrombolysis e.g ... Embolism #VTE #Anesthesiology ... #Anesthesia #Intraoperative
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia This is the last resort when
optimal airway management ... airway expertise e.g ... trolley and then cardiac ... Intubation #Difficult #Anesthesiology ... Checklist #Diagnosis #Management
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
alternate vasopressor (e.g ... an appropriate critical ... #Anaphylaxis #Anesthesiology ... #Anesthesia #Intraoperative ... Checklist #Diagnosis #Management
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
likely underlying cause ... Consider monitoring cardiac ... cultures if possible (eg ... #Sepsis #Anesthesiology ... #Anesthesia #Intraoperative
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
Cardiac Arrest - ... • Check ECG rhythm ... #Differential #Anesthesiology ... #Anesthesia #Intraoperative ... Checklist #Diagnosis #Management
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