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6th ED
ICU-card
«ICU, Formulas & Drugs»
HEMODYNAMIC PATTERNS
Condition
SAP
CVP

PAP PCWP

CO C(a-v)02 PVR

SVR
Hypovolemic shock
↓
↓
↓
↓
↓
↑
↑
↑
Cardiogenic shock
↓
1
↑
1

1
↑

Septic shock
↓
↓
↓
↓
↑
↓
↓
↓
Cardiac Tamponade
.
↑
↑
1
↓

→
↑
RV
Index CARDIAC WORK ... RCWI Cardiac Work ... Tension ((FIO) ... 100-150 mmHg (FIO2 ... Barometric Pressure FIO2
Intraoperative Mains Oxygen Supply Failure - Guidelines for Crises in Anaesthesia

Complete failure of wall or pendant
Intraoperative Mains Oxygen ... wall or pendant oxygen ... lowest possible FiO2 ... • Check FiO2 ... Diagnosis #Management #Workup
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
problem in adequate oxygen ... ❶ Adequate oxygen ... AND give 100% oxygen ... check measured FiO2 ... Diagnosis #Management #Workup
Intraoperative Hypertension - Guidelines for Crises in Anaesthesia
Hypertension is most commonly due to inappropriate depth of
problem in adequate oxygen ... stimulus. ❷ Adequate oxygen ... check measured FiO2 ... Diagnosis #Management #Workup
Increased Airway Pressure - Guidelines for Crises in Anaesthesia

Using these steps from start to end should
. ❶Adequate oxygen ... AND give 100% oxygen ... check measured FiO2 ... Diagnosis #Management #Workup
Cardiac Arrest - Guidelines for Crises in Anaesthesia

The probable cause is one or more of: something
). ❷ Adequate oxygen ... flow, give 100% oxygen ... check measured FiO2 ... Diagnosis #Management #Workup
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 ... small valve to mix oxygen ... increases delivered oxygen ... nickmmark #Mask #Oxygen
Intraoperative  Bradycardia - Guidelines for Crises in Anaesthesia
Bradycardia in theatre should not be treated as
B. ❷ Adequate oxygen ... check measured FiO2 ... Diagnosis #Management #Workup
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia
Tachycardia in theatre is often due to inadequate depth
analgesia. ❷ Adequate oxygen ... check measured FiO2 ... Diagnosis #Management #Workup
Oxygen Delivery by Device

Nasal Cannula 
• Indicated for low-flow, low-percentage supplemental oxygen. 
• Flow rate of
Oxygen Delivery ... high percentage FiO ... set to desired FiO2 ... deliver desired FiO ... #FiO2 #Pulmonary