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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
→ ↓ → →↑ Pulmonary ... Index CARDIAC WORK ... RCWI Cardiac Work ... A-a Gradient (((FIO ... Oxygen Tension ((FIO
ASV - Adaptive Support Ventilation Summary
Basic Set Parameters:
  1) Target MV (80-120%)
  2) PEEP
2) PEEP 3) FiO2 ... lowest amount of work ... no significant pulmonary ... #Ventilation #pulmonary
APVcmv - Adaptive Pressure Ventilation - Controlled Mechanical Ventilation Summary
Most Similar to PRVC - Pressure Regulated
Volume 3) PEEP 4) FiO2 ... patients - The more work ... Ventilation #management #pulmonary
SPONT - Spontaneous Breathing = Pressure Support Ventilation Summary
Basic Set Parameters:
  1) Pressure Support (PS)
2) PEEP 3) FiO2 ... do some of the work ... means the patient ↑work ... #Ventilation #pulmonary
Increased Airway Pressure - Guidelines for Crises in Anaesthesia

Using these steps from start to end should
check measured FiO2 ... o Aspiration, pulmonary ... Diagnosis #Management #Workup
Mask Oxygen Delivery Devices

Simple Mask aka Hudson's Mask:
 • Flow 6-10 LPM
 • FiO2 35-50%
Face Tent:
Flow 6-10 LPM • FiO2 ... 10-15 LPM • FiO2 ... 10-15 LPM • FiO2 ... 10-15 LPM • FiO2 ... Devices #management #pulmonary
Oxygen Delivery Systems
Nasal Cannula:
 • Flow: 1 - 6 L/min
 • FiO2: 25 - 40% (-4%/L
- 6 L/min • FiO2 ... - 10 L/min • FiO2 ... - 15 L/min • FiO2 ... on valve) • FiO2 ... devices #management #pulmonary
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
A-a gradient = [FiO2 ... chest) • Low PiO2 ... Elevation, Low Fio2 ... Intracardiac, Pulmonary ... V/Q Mismatch: Pulmonary
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia
Using these steps from start
check measured FiO2 ... o Aspiration, pulmonary ... Checklist #Diagnosis #Workup ... #Management #Workup
Oxygen Delivery by Device

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