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management workup anesthesia anesthesiology criticalcare intraoperative differential lung acidosis adultonset algorithm amiodarone cardiology causes chf classification clinical complex cyanosis disease
Malignant Complex Pleural Effusion on Lung POCUS You are starting your RUSH exam on febrile/hypotensive patient with
Pleural Effusion ... Diagnosis? ... pleural effusion ... #POCUS #Pulmonary ... #Ultrasound
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 Adult-Onset Still's Disease Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia + Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Hantavirus • Malignant ... , DIC, TMA • Cardiac ... hepatitis • Pulmonary ... : pleural effusion ... #management #treatment
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... of blood, pus, effusion ... • Diagnostic ... thoracotomy is a better treatment ... Intraoperative #Checklist
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... Setup - Ultrasound ... Tamponade - Pulmonary ... Cardiac surgery? ... #criticalcare #treatment
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
importantly, bedside ultrasound ... hemodynamics and cardiac ... with presence of pulmonary ... ECG is vital while ... Cardiac cath if
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
- shock->treatments ... drugs, seizures, malignancy ... - Cardiac arrest ... failure - Low cardiac ... output - Acute pulmonary
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
remember to tailor treatment ... obtain 12-lead ECG ... hypovolaemia; primary cardiac ... Intraoperative #Checklist ... #Diagnosis #Management
Amiodarone Induced Lung Toxicity Summary Who? • 5% of patients • Dose ≥ 400 mg per day How? Possible
starting amiodarone treatment ... and exudative pleural ... effusions • Acute ... embolism - Malignancy ... macrophages Treatment
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
blood gas, 12-lead ECG ... Sepsis → 3-14 o Malignant ... o Aspiration, pulmonary ... Intraoperative #Checklist ... #Diagnosis #Workup
Severe Influenza Checklist Diagnostic tests - Blood cultures x2 - Sputum gram stain & culture
Diagnostic tests ... function tests - Ultrasound ... needed to exclude effusion ... suspected Adiunctive treatments ... lab-confirmed influenza, pulmonary
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