26 results
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Adrenal crisis - Anaphylaxis ... - Post-cardiac ... infarction Tamponade ... Cardiogenic #Comparison #Table ... #Diagnosis #Features
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Distributive: Sepsis, Anaphylaxis ... Obstructive: Pericardial tamponade ... #inopressors #diagnosis ... #management #comparison ... #table
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... Diagnosis Framework ... tamponade, Vascular ... Sepsis. neurogenic, anaphylaxis ... #table #comparison
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Diagnosis Framework ... Distributive: Sepsis, Anaphylaxis ... Pneumothorax, Cardiac ... Tamponade, Severe ... algorithm #treatment #management
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... pericarditis, Pericardial Tamponade ... Cardiac surgery? ... #Diagnosis #Management
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
• Unexplained hypotension
• Unexplained bronchospasm (wheeze may be absent
Intraoperative Anaphylaxis ... as patient is stable ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... Plan definitive management ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
pneumothorax, cardiac ... tamponade, constrictive ... Classification #Types #diagnosis ... #management #cold ... warm #wet #dry #table
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
ischaemia → 3-12 o Anaphylaxis ... tamponade → 3-9 ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia

Severe sepsis (hypotension persisting after initial fluid challenge of
cause) or septic shock ... Consider monitoring cardiac ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup