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diagnosis anesthesia anesthesiology differential intraoperative workup shock causes approach cardiogenic cardiology criticalcare dcsi detroit dyspnea em embolism embolus hypotensive im
A good approach when dealing with hypotension at the bedside includes using the following systematic four
examination and ultrasound ... Cardiac Performance ... Systemic Vascular ... Resistance #Diagnosis #Management ... #Algorithm
Shock - Differential Diagnosis Algorithm Warm Extremities - Distributive Shock - Low JVP
Differential Diagnosis Algorithm ... Sepsis • Anaphylaxis ... • Left-sided Valvular ... Pneumothorax • Cardiac ... Redistribution #Shock #Hypotension
Causes of Dyspnea - Differential Diagnosis Algorithm Cardiac: • Dysrhythmia • Ischemia • Cardiomyopathy • Valvular disease
Differential Diagnosis Algorithm ... Cardiac: • Dysrhythmia ... Cardiomyopathy • Valvular ... Bronchiectasis • Anaphylaxis ... • Pulmonary hypertension
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
Intraoperative Anaphylaxis ... • Unexpected cardiac ... arrest trolley, anaphylaxis ... Intraoperative #Checklist ... #Diagnosis #Management
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Distributive: Sepsis, Anaphylaxis ... Pneumothorax, Cardiac ... compartment syndrome, Vascular ... #criticalcare #algorithm ... #treatment #management
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
ischaemia → 3-12 o Anaphylaxis ... → 3-1 o Cardiac ... valvular problem ... Intraoperative #Checklist ... #Diagnosis #Management
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... Cardiogenic Shock  Hypotension ... visualization with use of ultrasound ... Fick calculated cardiac ... DCSI #Initiative #Management
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Signs: hypotension ... unexplained loss of cardiac ... removal – consult vascular ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
complex AND not hypotensive ... hypovolaemia; primary cardiac ... amniotic (→ 3-5); anaphylaxis ... Intraoperative #Checklist ... #Diagnosis #Management
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