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diagnosis management differential workup anesthesiology intraoperative classification acidosis causes comparison curves cyanosis elevation guyton hypokalemia hypotension hypoxia lactate lactic summary
Approach to Undifferentiated Shock - OnePager Summary Shock occurs when there is inadequate blood flow (CO) &
Pneumothorax, Cardiac ... Tamponade, Pulmonary ... , Medications (anesthesia ... • HYPOVOLEMIC: Hemorrhage ... guyton #curves #criticalcare
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Consider IL NS/LR infusion ... telemetry, 12-Lead EKG ... pericarditis, Pericardial Tamponade ... Cardiac surgery? ... Management #Summary #criticalcare
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
Shock - Differential ... Intravascular volume): • Hemorrhage ... tamponade, Vascular ... release syndrome, infusion ... table #comparison #criticalcare
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... of blood, pus, effusion ... #Cardiac #Tamponade ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
Shock Types - Classification State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
diminished tissue perfusion ... pneumothorax, cardiac ... tamponade, constrictive ... Cold and Dry): • Hemorrhagic ... diagnosis #management #criticalcare
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
rate, rhythm, perfusion ... consider: o Cardiac ... tamponade → 3-9 ... Sepsis → 3-14 o Cardiac ... Intraoperative #Checklist
Checklist Approach to Hypokalemia Consider risk factors for arrhythmia: - EKG changes (especially QT prolongation) - Digoxin
Checklist Approach ... changes (especially QT ... patients (including cardiac ... NPO, or profound shock ... Hypokalemia #Management #CriticalCare
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
by excretion (e.g ... hypoxemia/Sepsis etc ... / hypoxemia -> focus ... - Cardiac arrest ... failure - Low cardiac
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
blood gas, 12-lead ECG ... embolism → 3-5 o Cardiac ... ) → 3-12 o Cardiac ... tamponade → 3-9 ... Intraoperative #Checklist
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