12 results
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
solution (10-20 mL ... (5—10 mL/kg) ... Ameliorate increased work ... pressure (PEEP) for pulmonary ... oxygenation; remove work
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Shock - Management Checklist ... edema - Large effusion ... nitroglycerine infusion ... (no B-lines on ultrasound ... cardiogenic shock #Checklist
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
of blood, pus, effusion ... • Call for ultrasound ... re-assess using ultrasound ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Consider IL NS/LR infusion ... Setup - Ultrasound ... and Survey 4) Workup ... Tamponade - Pulmonary ... criticalcare #treatment #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
→ ↓ → →↑ Pulmonary ... DP-PCWP Coronary Perfusion ... Index CARDIAC WORK ... RCWI Cardiac Work ... 0.0144 Cardiac Work
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
• Unexplained hypotension
• Unexplained bronchospasm (wheeze may be absent
an adrenaline infusion ... noradrenaline infusion ... 4 ⓫ Take 5-10 ml ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
rate, rhythm, perfusion ... fluid boluses (250 ml ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Increased Airway Pressure - Guidelines for Crises in Anaesthesia

Using these steps from start to end should
rate, rhythm, perfusion ... o Aspiration, pulmonary ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Fluid Responsiveness and Fluid Tolerance Testing - OnePager Summary
Fluid resuscitation can be beneficial when required or
Pulmonary Artery ... Point of Care Ultrasound ... • PULMONARY A ... reservoir of ~300 ml ... response to the rapid infusion
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia
Using these steps from start
rate, rhythm, perfusion ... o Aspiration, pulmonary ... Intraoperative #Checklist ... #Diagnosis #Workup ... #Management #Workup