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diagnosis management workup anesthesiology intraoperative differential criticalcare acidosis anaphylaxis bradycardia cardiology causes classification curves cyanosis elevation guyton hypotension hypoxia lactate
Approach to Undifferentiated Shock - OnePager Summary Shock occurs when there is inadequate blood flow (CO) &
essential to determine treatment ... Pneumothorax, Cardiac ... Tamponade, Pulmonary ... , Medications (anesthesia ... • HYPOVOLEMIC: Hemorrhage
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? ... #criticalcare #treatment
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
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
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
remember to tailor treatment ... rate, rhythm, perfusion ... obtain 12-lead ECG ... hypovolaemia; primary cardiac ... Intraoperative #Checklist
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
trolley, anaphylaxis treatment ... require prolonged treatment ... alternate vasopressor (e.g ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
remember to tailor treatment ... rate, rhythm, perfusion ... known drug causes (eg ... remifentanil, digoxin etc ... Intraoperative #Checklist
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
hypoxemia/Sepsis etc ... - shock->treatments ... before beginning treatment ... - Cardiac arrest ... failure - Low cardiac
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
blood gas, 12-lead ECG ... ) → 3-12 o Cardiac ... tamponade → 3-9 ... Intraoperative #Checklist ... Management #Workup #anesthesia
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