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 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 ... Anesthesiology #Anesthesia
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
Intraoperative Circulatory ... Consider thrombolysis e.g ... over 2 h (>65 kg ... Anesthesiology #Anesthesia ... #Intraoperative
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia
Tachycardia in theatre is often due to inadequate depth
Intraoperative Tachycardia ... Tachycardia should ... obtain 12-lead ECG ... #Intraoperative ... Checklist #Diagnosis #Management
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 ... Anesthesiology #Anesthesia ... #Intraoperative ... Checklist #Diagnosis #Management
Intraoperative  Bradycardia - Guidelines for Crises in Anaesthesia
Bradycardia in theatre should not be treated as
Bradycardia in theatre should ... known drug causes (eg ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management ... #Workup #Cardiology
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia

Severe sepsis (hypotension persisting after initial fluid challenge of
Intraoperative Sepsis ... cultures if possible (eg ... Discuss ongoing management ... Anesthesiology #Anesthesia ... #Intraoperative
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
iatrogenic causes, e.g ... pericardiocentesis kit (eg ... generally toward left shoulder ... Anesthesiology #Anesthesia ... #Intraoperative
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
You should rapidly ... and positioning (e.g ... Endocrine cause (eg ... Anesthesiology #Anesthesia ... #Intraoperative
Intraoperative Laryngospasm and Stridor - Guidelines for Crises in Anaesthesia

❢ Call for help and inform theatre
Intraoperative Laryngospasm ... obstructing the airway, e.g ... Anesthesiology #Anesthesia ... #Intraoperative ... Checklist #Diagnosis #Management
Increased Airway Pressure - Guidelines for Crises in Anaesthesia

Using these steps from start to end should
from start to end should ... airway device should ... blood gas, 12-lead ECG ... #Intraoperative ... Checklist #Diagnosis #Management