56 results
Hypoxemia in Anesthesiology - Differential Diagnosis and Management 

Management: 

• increase Fi02 to 100% - verify!
Hypoxemia in Anesthesiology ... • check ETC02 / ... breath sounds • check ... • suction • check ... Hypoxemia #Hypoxia #Anesthesiology
Shock - Differential Diagnosis Algorithm
Warm Extremities
 - Distributive Shock - Low JVP
Shock - Differential ... - Distributive Shock ... - Cardiogenic Shock ... - Obstructive Shock ... • Cardiac Tamponade
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 • Obstructive shock is characterized by a blockage in
Shock Classification ... Obstructive Shock ... • Obstructive shock ... effusion, cardiac tamponade ... Tamponade: pericardial
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Classification of Shock ... Hypovolemic shock ... Distributive shock ... - Septic shock ... infarction Tamponade
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... a.k.a. neurogenic shock ... - Pericardial tamponade ... DrEricStrong #Shock
Shock Types and Classification
DISTRIBUTIVE 66%
 • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic
 • Warm
Shock Types and ... , tension PTX, tamponade ... Cold and Dry #Shock
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 • Poor oral intake
 • Hemorrhage
 • Renal loss
 •
Hypotension / Shock ... • Neurogenic shock ... Obstructive: • Cardiac tamponade ... Diagnosis #Algorithm #shock
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... and etiology of shock ... Obstructive: Pericardial tamponade ... Nesiritide 3) Treat shock ... #Vasopressors #shock
Rapid Ultrasound in SHock Evaluation
RUSH Protocol:
 • PUMP: LV contractility, RV strain, tamponade
 • TANK: IVC
Ultrasound in SHock ... contractility, RV strain, tamponade ... Ultrasound #pocus #shock
Non-lschemic Causes of Cardiogenic Shock:

Beta-Blockers, Calcium Channel Blockers, Digoxin 

Myocarditis 

Cardiomyopathies (sarcoidosis, amyloidosis, Takatsubo, 
hemochromatosis) 

Valvular
of Cardiogenic Shock ... dysfunction Tamponade ... #Cardiogenic #Shock