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diagnosis clinical management differential cardiology echocardiogram anesthesia anesthesiology checklist pulmonary workup intraoperative pericardial ultrasound criticalcare lung complex hypoxemia pleural syndrome
Causes of Hypoxemia- Differential Diagnosis Algorithm Ventilation/perfusion Mismatch • Airway Disease (Asthma, COPD) • Vascular (PE*) •
Causes of Hypoxemia ... Algorithm Ventilation/perfusion ... Abnormalities #Hypoxemia ... #Hypoxia #Differential ... Diagnosis #Algorithm #Causes
Hypoxia and Hypoxemia - Overview Hypoxia - insufficient oxygen delivered to tissues to meet demands Hypoxemia - low
Hypoxia and Hypoxemia ... - Overview Hypoxia ... common type of hypoxia ... ) PIO2 - atmospheric ... differential #diagnosis #causes
Approach to the A-a Gradient A-a gradient = PAO2 - PaO2 A-a gradient = [FiO2 x (Patm -
A-a gradient = [FiO2 ... Elevation, Low Fio2 ... Disease and more • Diffusion ... arterial #pulmonary #Hypoxia ... #hypoxemia #differential
Hypoxemic Respiratory Failure - Differential Diagnosis Framework DECREASED INSPIRED OXYGEN • Low PATM Can decrease first part
average settings • Causes ... gas equation • Causes ... • Most common cause ... direction leads to hypoxemia ... Respiratory #Failure #hypoxia
Acute Hypoxemia - Differential Diagnosis • Hyperacute: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Acute Hypoxemia ... Hemorrhage • Impaired Diffusion ... Sophia_Hayes_MD #Hypoxemia ... #hypoxia #Differential ... #Diagnosis #causes
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) - Respiratory symptoms must have begun within one
explained by pleural effusions ... severity of the hypoxemia ... mm Hg < PaO2 / FiO2 ... mm Hg < PaO2 / FiO2 ... Severe - PaO2 / FiO2
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
usually: - hypoxemia ... hypoperfusion/ hypoxemia ... -> focus on improving ... perfusion - ... Reduced tissue perfusion
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
Intraoperative Hypoxia ... check measured FiO2 ... Consider whether poor perfusion ... rate, rhythm, perfusion ... POTENTIAL CAUSES
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet An acute diffuse, inflammatory lung injury, leading to
congestion with hypoxemia ... or CXR ● PaO2/FiO2 ... performed in most cases ... there is no clear cause ... the underlying cause
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
hypovolaemia or combined causes ... check measured FiO2 ... pressure as a cause ... rate, rhythm, perfusion ... o Endocrine cause
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