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management diagnosis criticalcare pulmonary algorithm checklist clinical differential anesthesia anesthesiology covid19 workup treatment intraoperative mechanical respiratory ventilator pathophysiology radiology cardiology
Oxygen Delivery Devices 1. Flow is a variable describing the movement of a volume of gas over
Oxygen Delivery ... understand: Minute Ventilation ... resulting in an FiO2 ... systems (CPAP/BPAP/ventilator ... more predictable FiO2
Intraoperative Mains Oxygen Supply Failure - Guidelines for Crises in Anaesthesia Complete failure of wall or pendant
Intraoperative Mains Oxygen ... lowest possible FiO2 ... • Check FiO2 ... usage: • Some ventilator ... switching to manual ventilation
Perform computations online at: ScyMed.com 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
VT*RR Minute Ventilation ... A-a Gradient (((FIO ... Tension ((FIO) ... 100-150 mmHg (FIO2 ... Barometric Pressure FIO2
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 ... bag moving OR ventilator ... switching to hand ventilation
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 ... Rapidly confirm ventilator ... provide manual ventilation
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
❶ Adequate oxygen ... AND give 100% oxygen ... check measured FiO2 ... bag moving OR ventilator ... assist/increase ventilation
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 ... bag moving OR ventilator
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 ... bag moving OR ventilator
Community Acquired Pneumonia (CAP) - Diagnosis and Management Pneumonia Signs/Symptoms: • Confusion/disorientation (LR + 1.9) • Cough
required mechanical ventilation ... or noninvasive ventilation ... • PaO2/FiO2 ratio ... (LR + 2.1) • Oxygen
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
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