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differential pulmonary anesthesia anesthesiology checklist intraoperative workup abscess assessment bronchiectasis cardiology causes challenges chesttube clinical comparison criticalcare drains esophageal extraarticular
Assessment of Chest Tube Drains Stepwise assessment of Chest Tube Function TUBE POSITIONING • Look at the CXR:
• Look at the CXR ... since a prior CXR ... injury to the lung ... large injury to lung ... ChestTube #Drains #Diagnosis
Lung Abscess - Diagnosis and Management Summary Lung Abscess Etiology: • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... Blood cultures • CXR ... fluid level seen ... Lung Abscess Management ... pneumonectomy if fail
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
of blood, pus, effusion ... fluid or air. ... cardiothoracic surgery, trauma ... indicated, start CPR ... #Management #Workup
Rheumatoid arthritis (RA): Extra-articular manifestations Skin: • Inflammation of skin (esp. over areas of stress) forms
Auto-immune attack on hair ... nociceptors & induces fluid ... pain, pleural effusion ... on CXR • RA inflammation ... signs #symptoms #diagnosis
Fluid Responsiveness and Fluid Tolerance Testing - OnePager Summary Fluid resuscitation can be beneficial when required or
Point of Care Ultrasound ... blood flow in the chest ... response to the rapid infusion ... Tolerance #testing #diagnosis ... comparison #challenges #management
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
• Check chest ... • Consider fluid ... hypovolaemia: give i.v fluid ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Heart failure with Reduced Ejection Fraction (HFrEF) Clinical Presentation 1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
: weight gain, lung ... bilateral pleural effusions ... → no signs of CXR ... Consider cardiac ... #management #cardiology
Bronchiectasis - Summary What? • Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
thickening, presence of air-fluid ... in the adjacent lung ... of the affected lung ... parenchyma Diagnosis ... #differential #diagnosis
Esophageal Rupture with Gastric Contents seen on Lung Ultrasound Middle aged patient with oesophageal Ca presents generally
Ultrasound Middle ... Patient had CXR ... concerning for air ... Diagnosis made at ... #Lung #Ultrasound
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