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management diagnosis criticalcare anesthesia anesthesiology checklist intraoperative pulmonary algorithm devices delivery differential mechanical respiratory hypoxia airway failure support comparison hfnc
Intraoperative Mains Oxygen Supply Failure - Guidelines for Crises in Anaesthesia Complete failure of wall or pendant
lowest possible FiO2 ... • Check FiO2 ... usage: • Some ventilator ... switching to manual ventilation ... Diagnosis #Management #Workup
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
Index CARDIAC WORK ... RCWI Cardiac Work ... VT*RR Minute Ventilation ... A-a Gradient (((FIO ... Tension ((FIO)
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
❶ Adequate oxygen ... AND give 100% oxygen ... check measured FiO2 ... Checklist #Diagnosis #Workup ... #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 ... bag moving OR ventilator ... 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 ... Rapidly confirm ventilator ... 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 ... bag moving OR ventilator ... Diagnosis #Management #Workup
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
❶ Adequate oxygen ... AND give 100% oxygen ... check measured FiO2 ... bag moving OR ventilator ... Diagnosis #Management #Workup
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
B. ❷ Adequate oxygen ... check measured FiO2 ... bag moving OR ventilator ... 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 ... bag moving OR ventilator ... 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
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