28 results
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Distributive: Sepsis, Anaphylaxis ... rupture, VSD, etc ... #inopressors #diagnosis ... #management #comparison ... #table
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
• Unexplained hypotension
• Unexplained bronchospasm (wheeze may be absent
Intraoperative Anaphylaxis ... immediately. ❼ Give drugs ... annotate notes/drug ... #Checklist #Diagnosis ... #Management #Workup
Drug Induced Liver Injury (DILI) - Stepwise Diagnosis Algorithm
DILI suspicion
Features toxic aetiology: Skin involvement, Kidney injury,
Drug Induced Liver ... DILI) - Stepwise Diagnosis ... duration), Several medications ... for alternative causes ... Liver #Injury #Diagnosis
A toxidrome is a syndrome (set of symptoms) caused by specific medications or toxins.

There are 5
set of symptoms) caused ... by specific medications ... barbituates, “Z-drugs ... antihistamines #Diagnosis ... Toxidromes #Comparison #Table
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
- ACLS (1st), Anaphylaxis ... of shock, HOCM, etc ... Vasopressors #Inotropes #management ... #criticalcare # ... summary #comparison #table
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
findings based on cause ... Sepsis. neurogenic, anaphylaxis ... adrenal crisis, drugs ... #table #comparison ... #criticalcare
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
anticholinergic drug ... ischaemia → 3-12 o Anaphylaxis ... Anesthesiology #Anesthesia #Intraoperative ... #Checklist #Diagnosis ... #Management #Workup
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
- Review of medication ... potentially causative drugs ... limit them as able ... Pancreatitis #Checklist #Diagnosis ... #Management #CriticalCare
Intraoperative Bronchospasm - Guidelines for Crises in Anaesthesia

❶ Call for help and inform theatre team of
Intraoperative Bronchospasm ... intubation. ❼ If anaphylaxis ... Drugs: Salbutamol ... #Checklist #Diagnosis ... #Management #Workup
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
Allergic reaction / anaphylaxis ... (→ 3-1) Drug induced ... #Differential #Causes ... Anesthesia #Checklist #Diagnosis ... #Management #Workup