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diagnosis criticalcare cardiology algorithm anesthesia anesthesiology pharmacology treatment workup classification clinical foamed intraoperative overview vasopressors cardiomyopathy chf clinica drugs echocardiogram
Shock and Vasoactive Drugs 1) Determine type and etiology of shock • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... and etiology of shock ... Distributive: Sepsis ... inopressors #diagnosis #management ... #comparison #table
Vasopressors and Inotropes • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
pressor added in shock ... Angiotensin - "Ang II" - Sepsis ... Vasopressors #Inotropes #management ... criticalcare #summary #comparison ... #table #pharmacology
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
Shock - Differential ... findings based on cause ... #Differential # ... Diagnosis #table ... #comparison #criticalcare
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
likely underlying cause ... ) or septic shock ... Discuss ongoing management ... Intraoperative #Checklist ... #Diagnosis #Management
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... Inflammatory: infectious (sepsis ... Classification #diagnosis #management ... #criticalcare #differential ... #causes #classification
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... Inflammatory: infectious (sepsis ... Classification #diagnosis #management ... #criticalcare #differential ... #causes #classification
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
maintained fever CAUSES ... anaesthesia • Sepsis ... #Hyperthermia #Differential ... #Anesthesia #Checklist ... #Diagnosis #Management
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
/Shock, Autoimmune ... Reversible course Differential ... the underlying cause ... with AEDs until cause ... Syndrome #diagnosis #management
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
pressure as a cause ... toxicity → 3-10 o Sepsis ... #Hypotension #Differential ... Intraoperative #Checklist ... #Diagnosis #Management
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
exclude other causes ... Differential Diagnosis ... Pts: cardiogenic shock ... Management during ... Delivery • Stable
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