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 ... Checklist #Diagnosis #Management
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... β€’ Call for cardiac ... Plan definitive management ... generally toward left shoulder ... 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 ... trolley and then cardiac ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
You should rapidly ... consider: o Cardiac ... Sepsis β†’ 3-14 o Cardiac ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia
Outcome from cardiac arrest is determined by
neuroprotection techniques should ... Obtain 12-lead ECG ... and discuss with cardiology ... ❾ Plan further management ... Anesthesiology #Anesthesia
Myocarditis
Diagnosis 
β€’ Endomyocardial biopsy (gold standard, rarely performed) 
β€’ Clinical presentation 
β€’ Cardiovascular MRI 
Clinical 
β€’
gallop β€’ Abnormal ECG ... shock, sudden cardiac ... death Management ... Myocarditis #Diagnosis #Management ... #Cardiology
Cardiac Stress Testing
Exercise:
 β€’ Everyone who can exercise should!
 β€’ They must be able to raise
Cardiac Stress Testing ... who can exercise should ... arrythmias Diagnostics: EKG ... Stress #Testing #cardiology ... #management #diagnosis
Cardiac Event Monitoring Devices - Compared
Ambulatory ECG (Hotter):
 β€’ Advantages: Continuous recording, records asx events, all
Cardiac Event Monitoring ... Compared Ambulatory ECG ... events, all (most) ECG ... Devices #Comparison #cardiology ... #management #holter
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia
Tachycardia in theatre is often due to inadequate depth
Tachycardia should ... obtain 12-lead ECG ... hypovolaemia; primary cardiac ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
unexplained loss of cardiac ... Consider thrombolysis e.g ... mainstay of initial management ... mainstay of initial management ... Anesthesiology #Anesthesia