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diagnosis differential criticalcare management causes types acidosis lactic falls fever overview sirs table typea typeb acute aliem anesthesia anesthesiology cardiogenic
SEPSIS AND SEPTIC SHOCK DEFINITION AND PATHOPHYSIOLOGY • Sepsis: Life-threatening organ dysfunction due to a dysregulated host
Life-threatening organ dysfunction ... • Septic shock ... = 65 mm Hg and lactate ... with Shock: Sepsis ... #Septic #Shock
Decision tree of FALLS-protocol (Fluid Administration Limited by Lung Sonography). Lung Ultrasound in the hemodynamic assessment
tree of FALLS-protocol ... assessment of Shock ... According to Weil classification ... , i.e. septic shock ... #algorithm #Lung
Systemic Inflammatory Response Syndrome (SIRS) • Non-specific (infections vs non-infectious) • ≥2 of the following: o Temp >38°C or <36°C o HR >90 bpm o RR
• Organ dysfunction ... hypoperfusion/organ dysfunction ... Septic Shock • ... o Lactate >2 mmol ... #sirs #shock #lactate
Lactic Acidosis Classification - Type A vs Type B Type A Lactic Acidosis: Sepsis, Ischemic bowel, Hemorrhagic
Lactic Acidosis Classification ... Lactic Acidosis: Sepsis ... bowel, Hemorrhagic shock ... Hypoperfusion, Cardiogenic shock ... Short bowel (D-lactate
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
30ml.kg-1 or blood lactate ... shock (sepsis with ... end organ dysfunction ... including blood gas, lactate ... Check serial lactates
Causes, classification and compensatory responses to shock. Shock can be caused by any pathological process that leads
Causes, classification ... vasodilatation, myocardial dysfunction ... distributive (septic ... for example, in sepsis ... Causes #Types #Classification
FALLS protocol - POCUS evaluation in shock The FALLS-protocol is an ultrasound evaluation of patients with acute
FALLS protocol - ... The FALLS-protocol ... classification ... Diagnosis #FALLS #Protocol ... #Shock #Algorithm
Lactic Acidosis - Differential Diagnosis Framework Type A: Impaired O2 Delivery (DO2) • Decreased O2 Delivery: Hypotension
Cardiogenic & Septic ... Shock, Severe Anemia ... Microcirculatory dysfunction ... Drugs/Toxins: - Propofol ... Malaria, Late Sepsis
Shock Classification and Differential Diagnosis SHOCK • MAP <65, SBP <90, drop in SBP > 40 •
Shock Classification ... Differential Diagnosis SHOCK ... malperfusion • Lactate ... / Low SVR • Sepsis ... #Classification
Bedside Classification of Shock Hypovolemic shock - Vomiting, diarrhea, overdiuresis - Hemorrhage (GI, peritoneal, RP) Distributive shock
Bedside Classification ... - Septic shock ... Acute valve dysfunction ... Prosthetic valve dysfunction ... #Classification
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