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Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
leading to increased pulmonary ... consistent with pulmonary ... <300mmHg with a ... assessment“ (e.g. echo ... #CriticalCare
ExtraCorporeal Membrane Oxygenation (ECMO) Fundamentals
Definitions:
 • ExtraCorporeal Membrane Oxygenation (ECMO) provides prolonged pulmonary and/or circulatory support
provides prolonged pulmonary ... failure used as a ... PE, cardiogenic shock ... Used as a bridge ... Oxygenation #diagnosis #management
Extracorporeal Membrane Oxygenation (ECMO) - Basics
Mode of cardiopulmonary support used to treat pulmonary and/or cardiovascular failure
used to treat pulmonary ... is a bridge, not ... a destination Veno-Arterial ... #Basics #management ... #pulmonary #criticalcare
Algorithm for bradycardic peri-arrest 
 - Bradycardiac peri-arrest may be loosely defined as severe bradycardia with
Algorithm for bradycardic ... bradycardia with marked shock ... shows a maximally ... There are two “arms ... #Management #CriticalCare
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
• Proning is a ... discussion With ECMO ... support #COVID19 #management ... #schema #criticalcare ... hypoxia #failure #algorithm
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
with presence of pulmonary ... essentially Cardiogenic Shock ... Impella, LVAD, ECMO ... #differential #algorithm ... #management #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... event, follow ACC algorithm ... ACEi/ARBs - Hold ... unless prior heart/lung ... medical and surgical management
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
yeast • At risk: AIDS ... change in the lungs ... fever • Septic shock ... nails, bronchi, lungs ... Fungal #Diagnosis #Management