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management diagnosis checklist anesthesia anesthesiology cardiology intraoperative criticalcare differential treatment clinical table echocardiogram algorithm foamed pocus bradycardia chf fibrillation heartfailure
Clinical Management for Three Common Causes of Shock HEMORRHAGIC SHOCK • Ensure adequate ventilation and oxygenation.
for Three Common Causes ... of Shock HEMORRHAGIC ... SHOCK • Ensure ... Ameliorate increased work ... oxygenation; remove work
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... Consider IL NS/LR infusion ... Setup - Ultrasound ... and Survey 4) Workup ... criticalcare #treatment #workup
Common Vasopressors and Inotropes Norepinephrine (NE) - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
: Distributive shock ... , Shock where ↑ ... Bradyarrhythmias, Some cases ... Can be used in all ... comparison #table #pharmacology
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing Common causes: • Renal parenchymal disease
disease - Renal ultrasound ... Duplex Doppler ultrasound ... ) or IV saline infusion ... aldosterone at 4 h of infusion ... #Screening #Workup
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
of blood, pus, effusion ... or iatrogenic causes ... • Call for ultrasound ... small volume may cause ... Diagnosis #Management #Workup
Severe Heart Failure & Cardiogenic Shock - Management Checklist Evaluation - EKG & echocardiography
& Cardiogenic Shock ... edema - Large effusion ... nitroglycerine infusion ... (no B-lines on ultrasound ... NSAlDs, ACE-inhibitors
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
undifferentiated shock ... is in impending shock ... focus on improving perfusion ... Reduced tissue perfusion ... lactate and can act
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
hypovolaemia or combined causes ... reservoir bag and APL ... pressure as a cause ... rate, rhythm, perfusion ... Diagnosis #Management #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
arrest where other causes ... pack. ❸ Remove all ... chlorhexidine as cause ... as a possible cause ... Diagnosis #Management #Workup
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
should identify any cause ... reservoir bag and APL ... Consider potential causes ... rate, rhythm, perfusion ... Diagnosis #Management #Workup
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