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management diagnosis anesthesia anesthesiology checklist intraoperative pulmonary differential mechanical ventilation criticalcare oxygen pressure adaptive cardiology clinical devices failure hematology hypoxia
Oxygen Delivery by Device Nasal Cannula • Indicated for low-flow, low-percentage supplemental oxygen. • Flow rate of
high percentage FiO ... retention of exhaled gases ... • Uses either ... desired FiO ... #FiO2 #Pulmonary
Mask Oxygen Delivery Devices Simple Mask aka Hudson's Mask: • Flow 6-10 LPM • FiO2 35-50% Face Tent:
Mask Oxygen Delivery ... Flow 6-10 LPM • FiO2 ... A venturi mask uses ... reservoir increases delivered ... #Mask #Oxygen #Delivery
Low O2 saturation that does not respond to supplemental O2 - Key diagnostic feature (sat < 85%
response to 100% FiO2 ... pulse oximeter causes ... response to 100% FiO2 ... of impaired O2 delivery ... impairment of O2 delivery
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
hypovolaemia or combined causes ... adequate oxygen delivery ... Adequate oxygen delivery ... check measured FiO2 ... Diagnosis #Management #Workup
Intraoperative Hypertension - Guidelines for Crises in Anaesthesia Hypertension is most commonly due to inappropriate depth of
adequate oxygen delivery ... Adequate oxygen delivery ... check measured FiO2 ... hypercarbia as causes ... Diagnosis #Management #Workup
(S)CMV - Synchronized Controlled Mechanical Ventilation Summary Most Similar to "AC/VC" Basic Set Parameters: 1) Rate
3) PEEP 4) FiO2 ... ventilator will deliver ... ventilator will deliver ... Casey Albin, MD
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
should identify any cause ... ❶Adequate oxygen delivery ... surgery related cause ... check measured FiO2 ... Diagnosis #Management #Workup
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
The probable cause ... and treat the cause ... Adequate oxygen delivery ... check measured FiO2 ... Diagnosis #Management #Workup
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
Guidelines for Crises ... Adequate oxygen delivery ... check measured FiO2 ... Consider known drug causes ... Diagnosis #Management #Workup
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
Guidelines for Crises ... likely underlying cause ... problem. ❷ Increase FiO2 ... devices could have caused ... Diagnosis #Management #Workup
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