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diagnosis classification causes sepsis acidosis lactic overview sirs treatment types workup algorithm anesthesia anesthesiology checklist criteria elevation encephalopathy icu intraoperative
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
high risk): o Altered ... Septic Shock • ... /L Management ... control (drain abscesses ... #sirs #shock #lactate
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Shock - Differential ... Distributive: Sepsis ... Insufficiency, Liver ... Diagnosis #criticalcare ... algorithm #treatment #management
Shock Classification and Differential Diagnosis SHOCK • MAP <65, SBP <90, drop in SBP > 40 •
and Differential ... malperfusion • Lactate ... / Low SVR • Sepsis ... Insufficiency, Liver ... Diagnosis #Types #criticalcare
Lactic Acidosis - Differential Diagnosis Framework Type A: Impaired O2 Delivery (DO2) • Decreased O2 Delivery: Hypotension
Lactic Acidosis - Differential ... Cardiogenic & Septic Shock ... Clearance: Systemic liver ... Malaria, Late Sepsis ... #Diagnosis #criticalcare
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Inflammatory: infectious ... AI, thyroid dz liver ... Classification #diagnosis #management ... #Overview #criticalcare ... #differential #
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
Lactic Acidosis - Differential ... glucose by the liver ... /hypoxemia/Sepsis ... assessment - assess ... Acidosis #Elevation #Differential
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Inflammatory: infectious ... AI, thyroid dz liver ... Classification #diagnosis #management ... #Overview #criticalcare ... #differential #
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... • Oliguria • Altered ... ) • Elevated lactate ... Establish IV/IO Access ... #Summary #criticalcare
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 ... central and arterial access ... Discuss ongoing management ... Checklist #Diagnosis #Management
Sepsis - Diagnosis and Management Life-threatening organ dysfunction caused by a dysregulated host response to infection SEPTIC SHOCK
host response to infection ... SEPTIC SHOCK is ... Patients w/ septic shock ... Serum lactate >2 ... #QSOFA #SIRS #criticalcare
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