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diagnosis causes criticalcare cardiology classification overview sepsis algorithm anesthesia anesthesiology bloodstream bradi bradycardia catheter crbsi criteria duke encephalopathy fungal infection
Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
Endocarditis checklist ... for metastatic infection ... • Myocardial abscess ... #checklist #criticalcare ... #diagnosis #management
Systemic Inflammatory Response Syndrome (SIRS) • Non-specific (infections vs non-infectious) • ≥2 of the following: o Temp >38°C or <36°C o HR >90 bpm o RR
vs non-infectious ... Septic Shock • ... >2 mmol/L Management ... control (drain abscesses ... #sirs #shock #lactate
Suspected catheter-related bloodstream infection - Management Algorithm • Temperature 37.8 C • Rigors
- Management Algorithm ... (endocarditis, ... epidural abscess ... CRBSI: • Severe sepsis ... limited vascular access
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Infectious: • Pre-existing ... devices (CIED) Non-Infectious ... infarction • Infectious ... Marantic (NTBE) Differential ... #diagnosis #management
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
≥ 4mmol.l-1 if infection ... cause) or septic shock ... Discuss ongoing management ... Intraoperative #Checklist ... #Diagnosis #Management
Bradycardia - Differential Diagnosis Framework BRADI Mnemonic • BRASH/Hyperkalemia • Reduced oxygen/Glucose/Temp • ACS • Drugs •
Bradycardia - Differential ... Drugs • ICP / Infections ... blocking agent • Shock ... • Aortic Valve Endocarditis ... + Abscess • Sick
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... Inflammatory: infectious ... (sepsis) or not ... Classification #diagnosis #management ... #criticalcare #differential
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... Inflammatory: infectious ... (sepsis) or not ... Classification #diagnosis #management ... #criticalcare #differential
Endocarditis - Diagnosis and Management Summary What is it? Inflammation of endocardium, typically secondary to infection of
Endocarditis - Diagnosis ... and Management ... typically secondary to infection ... septic/cardiogenic shock ... w/ vegetation/abscess
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
Preeclampsia, Eclampsia, Infection ... /Sepsis/Shock, Autoimmune ... Reversible course Differential ... Diagnosis: • Infection ... Syndrome #diagnosis #management
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