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management anesthesia anesthesiology checklist intraoperative algorithm causes criticalcare acidosis cardiacarrest classification criteria cyanosis elevation erythrocytosis failure hematology hyperacute hypoxemic increased
Hypoxia and Hypoxemia - Overview Hypoxia - insufficient oxygen delivered to tissues to meet demands Hypoxemia - low
(e.g low cardiac ... carrying capacity (e.g ... cannot use oxygen (e.g ... #pulmonary #differential ... #diagnosis #causes
Hypoxemia / Hypoxia - Rapid Response Management Algorithm Stridor - Upper airway pathology: • Anaphylaxis • Foreign
Hypoxemia / Hypoxia ... CNS depression (e.g ... wall compliance (e.g ... Sophia_Hayes_MD #Hypoxemia ... #Hypoxia #differential
Hyperacute Hypoxemia - Workup and Management Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Hyperacute Hypoxemia ... Differential Diagnosis ... Therapeutics: Airway ... #Hyperacute #Hypoxemia ... #Hypoxia #Workup
Hypoxemic Respiratory Failure - Differential Diagnosis Framework DECREASED INSPIRED OXYGEN • Low PATM Can decrease first part
High altitude (eg ... direction leads to hypoxemia ... intracardiac shunting (eg ... Respiratory #Failure #hypoxia ... Diagnosis #pulmonary
Erythrocytosis - Polycythemia Differential Diagnosis Algorithm Elevated Hemoglobin: • Males: Hb > 16.5 g/dL/HCT ≥ 49% •
Diagnosis Algorithm ... Acquired Causes: • Hypoxia-driven ... : Cardiac/pulmonary ... altitude habitat • Hypoxia-independent ... Paraneoplastic (e.g
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
Intraoperative Hypoxia ... of unexpected hypoxia ... is secondary to hypoxia ... blood gas, 12-lead ECG ... AND ACTIONS • Hypoxia
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
usually: - hypoxemia ... by excretion (e.g ... its metabolism (e.g ... patient with shock/hypoxemia ... hypoperfusion/ hypoxemia
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
blood gas, 12-lead ECG ... o Aspiration, pulmonary ... #Pressure #Differential ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
• Check ECG rhythm ... 4 H’s, 4 T’s: Hypoxia ... CardiacArrest #Checklist #Differential ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Weakness - Differential Diagnosis Framework Approach To Weakness: • Non-neuromuscular disorder (Cardiac, pulmonary etc) • CNS ->
Weakness - Differential ... Diagnosis Framework ... disorder (Cardiac, pulmonary ... dystrophies Work ... electromyographic (EMG
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