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diagnosis shock workup algorithm anesthesia anesthesiology differential intraoperative cardiology criticalcare treatment classification types approach cardiomyopathy causes chf cold dcsi detroit
A good approach when dealing with hypotension at the bedside includes using the following systematic four
when dealing with hypotension ... examination and ultrasound ... Cardiac Performance ... Systemic Vascular ... Resistance #Diagnosis #Management
Shock - Differential Diagnosis Algorithm Warm Extremities - Distributive Shock - Low JVP
Sepsis • Anaphylaxis ... Extremities - Cardiogenic ... • Left-sided Valvular ... Pneumothorax • Cardiac ... Redistribution #Shock #Hypotension
Severe Heart Failure & Cardiogenic Shock - Management Checklist Evaluation - EKG & echocardiography
Shock - Management ... Checklist Evaluation ... (no B-lines on ultrasound ... shock #Checklist ... HeartFailure #Cardiology #Management
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Distributive: Sepsis, Anaphylaxis ... High SVR: • Cardiogenic ... Pneumothorax, Cardiac ... compartment syndrome, Vascular ... algorithm #treatment #management
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
Shock  Hypotension ... visualization with use of ultrasound ... Fick calculated cardiac ... IF LVEDP >15 or Cardiac ... DCSI #Initiative #Management
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
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
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis 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
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
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