9 results
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Shock - Management ... Checklist Evaluation ... (no B-lines on ultrasound ... shock #Checklist ... #CHF #Shock #Cardiogenic
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
ShockHypotension ... visualization with use of ultrasound ... Fick calculated cardiac ... IF LVEDP >15 or Cardiac ... DCSI #Initiative #Management
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... Summary • Hypotension ... Setup - Ultrasound ... resuscitation • Cardiogenic ... Cardiac surgery?
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
myxedema, beriberi CARDIOGENIC ... • Pulmonary vascular ... severe pulmonary hypertension ... pneumothorax, cardiac ... Types #diagnosis #management
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
consider: o Cardiac ... Sepsis → 3-14 o Cardiac ... valvular problem ... Intraoperative #Checklist ... #Diagnosis #Management
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
myxedema, beriberi CARDIOGENIC ... ) • Puimonary vascular ... severe pulmonary hypertension ... pneumothorax, cardiac ... types #diagnosis #management
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia

Severe sepsis (hypotension persisting after initial fluid challenge of
Severe sepsis (hypotension ... cause) or septic shock ... Consider monitoring cardiac ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
for Crises in Anaesthesia ... Signs: hypotension ... unexplained loss of cardiac ... removal – consult vascular ... Intraoperative #Checklist
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
or dilated) • Valvular ... pre-eclampsia, hypertension ... Minority of Pts: cardiogenic ... shock and severe ... and timing with Cardio-OB