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diagnosis management criticalcare differential workup anesthesia anesthesiology causes hematology intraoperative shock cardiology covid19 ecmo extracorporeal hypertension hypoxia membrane oxygenation pancytopenia
Extracorporeal Membrane Oxygenation (ECMO) - Basics Mode of cardiopulmonary support used to treat pulmonary and/or cardiovascular failure
circulation PARAMETERS Flow ... Dial in RPMs and flow ... • On VA-ECMO - flow ... • On VV-ECMO - flow ... min): Sweep gas flow
Proposed Respiratory Support Algorithm in COVID19 The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Proposed Respiratory Support ... Algorithm in COVID19 ... flow oxygen (e.g ... criticalcare #hypoxia #failure ... #algorithm
General schema for respiratory support in patients with COVID-19 Low flow nasal cannula • Typically set at
flow nasal cannula ... liters/minute High flow ... Iimitation in the flow ... criticalcare #hypoxia #failure ... #algorithm
Shock - Differential Diagnosis by Classification Hypovolemic (Intravascular volume depletion) - Hemorrhagic • Trauma
Differential Diagnosis by Classification ... - Severe heart failure ... obstruction to blood flow ... Differential #Diagnosis #Classification
Approach to Selecting Respiratory Support: -The role of noninvasive respiratory support is generally to reduce the patient's
Selecting Respiratory Support ... noninvasive respiratory support ... pneumonia vs. heart failure ... never be used to “blow ... RespiratorySupport #Selection #Algorithm
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 Pulmonary Hypertension Groups - WHO Classification Group I - Vascular remodeling of pulmonary arteries • Idiopathic, HIV,
Hypertension Groups - WHO Classification ... back up of blood flow ... • Left heart failure ... chronic renal failure ... right ventricular failure
ExtraCorporeal Membrane Oxygenation (ECMO) Fundamentals Definitions: • ExtraCorporeal Membrane Oxygenation (ECMO) provides prolonged pulmonary and/or circulatory support
or circulatory support ... no circulatory support ... mixed respiratorv failure ... but with lower flow ... & Circulatory Support
Causes of Anemia by Mean Corpuscular Volume (MCV) - Differential Diagnosis Algorithm Low Mean Corpuscular Volume (<80
Differential Diagnosis Algorithm ... Low Mean Corpuscular ... Hemolysis • Marrow Failure ... #Anemia #MCV #Classification ... Differential #Diagnosis #Algorithm
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... LAB ACCESS & SUPPORT ... provide TIMI III flow ... obtain TIMI III flow ... Cardiogenic #Shock #Algorithm
Shock Classification Types - Pathophysiology Comparison Obstructive Shock: • Obstructive shock is characterized by a blockage in
Shock Classification ... blockage in blood flow ... characterized by low ... leading to organ failure ... criticalcare #diagnosis #classification
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