23 results
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
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia
Signs of severe toxicity:
 • Sudden alteration in
Local Anaesthetic Toxicity ... problem. ❸ Call for cardiac ... therapies to treat hypotension ... Intraoperative #Checklist ... #Diagnosis #Management
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
consider: o Cardiac ... Local anaesthetic toxicity ... valvular problem ... Intraoperative #Checklist ... #Diagnosis #Management
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
Cardiac Stress Testing ... production to cause vascular ... Bradycardia & hypotension ... COREIMpodcast #Cardiac ... Testing #cardiology #management
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... Checklist Evaluation ... (no B-lines on ultrasound ... cardiogenic shock #Checklist ... HeartFailure #Cardiology #Management
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
Intraoperative Cardiac ... abnormalities (hypo- or hypertension ... the patient is hypotensive ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
• Unexplained hypotension
• Unexplained bronchospasm (wheeze may be absent
• Unexpected cardiac ... surgery. ❷ Call for cardiac ... pressure < 50 mmHg or cardiac ... Intraoperative #Checklist ... #Diagnosis #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
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
infarction, following cardiac ... • Pulmonary vascular ... severe pulmonary hypertension ... pneumothorax, cardiac ... Types #diagnosis #management
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Cardiogenic Shock  Hypotension ... visualization with use of ultrasound ... Fick calculated cardiac ... IF LVEDP >15 or Cardiac ... DCSI #Initiative #Management