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diagnosis anesthesiology anesthesia checklist hypoxia intraoperative pulmonary workup causes cap community pneumonia aa airway alveolar cardiacarrest cardiology cyanosis edema gradient
Hypoxia and Hypoxemia - Overview Hypoxia - insufficient oxygen delivered to tissues to meet demands Hypoxemia - low
) PIO2 - atmospheric ... oxygen dissolved in arterial ... hemoglobin in arterial ... oxygen content of arterial ... #pulmonary #differential
Hypoxemia in Anesthesiology - Differential Diagnosis and Management Management: • increase Fi02 to 100% - verify!
- Differential ... Management: ... • increase Fi02 ... • arterial blood ... #Differential #
Approach to the A-a Gradient A-a gradient = PAO2 - PaO2 A-a gradient = [FiO2 x (Patm -
A-a gradient = [FiO2 ... Elevation, Low Fio2 ... Gradient #alveolar #arterial ... #pulmonary #Hypoxia ... #hypoxemia #differential
Community Acquired Pneumonia - Presenting Features • History in favor of CAP: Dyspnea, Cough, particularly if
Community Acquired ... , Tachycardia, Hypoxemia ... when secondary to bacterial ... breaths/min, PaO2 / FiO2 ... CAP #Community #Acquired
Causes of Palpitations • ARRHYTHMiA • SINUS ARRYTHMIA • ATRIAL FIBRILLATION • ATRIAL
ARRYTHMIA • ATRIAL ... FIBRILLATION • ATRIAL ... STRUCTURAL DISEASE • ACQUIRED ... PULMONARY DISEASE • HYPOXIA ... Palpitations #Causes #Differential
Community Acquired Pneumonia (CAP) - Diagnosis and Management Pneumonia Signs/Symptoms: • Confusion/disorientation (LR + 1.9) • Cough
Community Acquired ... Diagnosis and Management ... (LR + 2.7) • Hypoxia ... • PaO2/FiO2 ratio ... CAP #Diagnosis #Management
Uncommon Causes of Noncardiogenic Pulmonary Edema (NCPE) - Differential Diagnosis Framework High Altitude Pulmonary Edema: • Accumulation
Edema (NCPE) - Differential ... dissolved in the PaO2/FiO2 ... evidence of left atrial ... of the spiral arteries ... edema #causes #differential
Intraoperative Hypertension - Guidelines for Crises in Anaesthesia Hypertension is most commonly due to inappropriate depth of
check measured FiO2 ... Breathing - exclude hypoxia ... consider intra-arterial ... Checklist #Diagnosis #Management
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
check measured FiO2 ... help AND check arterial ... Airway #Pressure #Differential ... Checklist #Diagnosis #Management
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
check measured FiO2 ... 4 H’s, 4 T’s: Hypoxia ... CardiacArrest #Checklist #Differential ... Checklist #Diagnosis #Management
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