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management differential anesthesia anesthesiology intraoperative workup cardiology criticalcare infectiousdiseases treatment arthritis aspergillus autopeep capsulatum cico cyanosis difficult edema histoplasma histoplasmosis
Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
Endocarditis checklist ... w/ septic pulmonary ... if suspected (e.g ... block (+/- daily EKG ... of infection (e.g
Non-Resolving Pneumonias: Etiologies Unusual Infections: - Immunocompromised patients (e.g.: Mycobacterium, Aspergillosis, Nocardia) - Endemic Fungi (e.g.: Histoplasmosis,
Nocardia) - Endemic Fungi ... (e.g.: Histoplasmosis ... - Zoonotic (e.g ... Returning travelers (e.g ... Eosinophilic PNA (acute
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework NCPE Pathophysiology: Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
- Differential Diagnosis ... • A lack of acute ... level <100 pg/ml EKG ... HTN • Airway ... #differential #diagnosis
Auto-PEEP What is Auto-PEEP? • Progressive air trapping & dynamic hyperinflation → ↑Palv at end expiration
resistance (e.g ... resistance (e.g ... ventilation • In acute ... scenario (e.g. ... #diagnosis #management
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia This is the last resort when
Check optimal airway ... ❷ Consider ONE final ... expertise e.g. ... Intraoperative #Checklist ... #Diagnosis #Management
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
Increased Airway ... blood gas, 12-lead ECG ... o Aspiration, pulmonary ... Intraoperative #Checklist ... #Diagnosis #Management
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Culture (+): Acute ... Cerebral > Splenic, pulmonary ... Differential Diagnosis ... Diagnosis? ... ↑ ESR, CRP • EKG
Intraoperative Laryngospasm and Stridor - Guidelines for Crises in Anaesthesia ❶ Call for help and inform theatre
obstructing the airway ... , e.g. suction catheters ... negative-pressure pulmonary ... Intraoperative #Checklist ... #Diagnosis #Management
Invasive Aspergillus (IA) - Diagnosis and Management Aspergillus is ubiquitous in nature. Most invasive infections are caused
immunosuppression (eg ... presentations: • Pulmonary ... Endophthalmitis, Endocarditis ... septated hyphae, acute ... Management #treatment #fungal
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
• Confirm airway ... blood gas, 12-lead ECG ... o Aspiration, pulmonary ... Intraoperative #Checklist ... #Diagnosis #Workup
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