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 anesthesiology checklist intraoperative differential airway anaphylaxis arrest candida candidemia candidiasis cardiacarrest cardiomyopathy cardiotoxicity checkpoint cico cooling cyanosis difficult embolism
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 ... #Workup
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Treatment depends ... Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... malignant syndrome (e.g ... #Workup
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
, e.g. central line ... pericardiocentesis kit (eg ... generally toward left shoulder ... Anesthesiology #Anesthesia ... #Workup
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
should not be treated ... remember to tailor treatment ... (eg. remifentanil ... Anesthesiology #Anesthesia ... #Workup #Cardiology
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
You should rapidly ... and positioning (e.g ... (eg steroid dependency ... Checklist #Diagnosis #Management ... #Workup
Cardiac Stress Testing Exercise: • Everyone who can exercise should! • They must be able to raise
who can exercise should ... production to cause ... arrythmias Diagnostics: EKG ... Stress #Testing #cardiology ... #management #diagnosis
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
tachycardia or bradycardia ... trolley, anaphylaxis treatment ... alternate vasopressor (e.g ... Checklist #Diagnosis #Management ... #Workup
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 ... over 2 h (>65 kg ... #Workup
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 ... Anesthesiology #Anesthesia ... #Workup
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
Tachycardia should ... remember to tailor treatment ... obtain 12-lead ECG ... Anesthesiology #Anesthesia ... #Workup
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