19 results
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
Intraoperative Cardiac ... CM5 continuous ECG ... Anesthesiology #Anesthesia #Intraoperative ... Checklist #Diagnosis #Management ... #Workup
COVID-19 Hypoxia Management

Indication for endotracheal intubation?
Tolerating supplemental oxygen?
Consider HFNC
Not tolerating HFNC or HFNC is not available?
Consider
COVID-19 Hypoxia ... Management Indication ... Society of Critical ... #management #schema ... #failure #algorithm
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Respiratory Support Algorithm ... low flow oxygen (e.g ... #management #schema ... #criticalcare #hypoxia ... #failure #algorithm
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
patients with COVID ... Internet Book of Critical ... respiratory #support #COVID19 ... #management #schema ... #failure #algorithm
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
coma - Pulm: Hypoxia ... AKI, acute limb ischemia ... unless worrisome EKG ... with tetany or cardiac ... TLS #diagnosis #management
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia
Using these steps from start
Intraoperative Hypoxia ... blood gas, 12-lead ECG ... ischaemia (or infarction ... ) → 3-12 o Cardiac ... #Management #Workup
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
Intraoperative Circulatory ... , tachycardia, hypoxemia ... unexplained loss of cardiac ... Consider thrombolysis e.g ... #Workup
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
39 C this is a clinical ... • Serotonin syndrome ... Intracranial blood • Hypoxic ... Checklist #Diagnosis #Management ... #Workup
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
, - regional ischemia ... of lactate as a clinical ... perfusion - Cardiac ... failure - Low cardiac ... - Compartment syndrome
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... Plan definitive management ... Anesthesiology #Anesthesia #Intraoperative ... Checklist #Diagnosis #Management ... #Workup