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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 ... 0.0144 Cardiac Work ... VT*RR Minute Ventilation
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 • Vitals: ↑HR ↑RR ↓SpO2
 • High work
↓SpO2 • High work ... ABG: - High pCO2 ... with increased work ... • Initial ventilator ... #CriticalCare #pulmonary
Intraoperative Patient Fire - Guidelines for Crises in Anaesthesia
Evidence of fire (smoke, heat, odour, flash, flame)
fire • Bring CO2 ... • Discontinue ventilation ... • Re-establish ventilation ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
the patient's work ... to “blow off” CO2 ... #Noninvasive #Ventilation ... RespiratorySupport #Selection #Algorithm
Cardiac Arrest - Guidelines for Crises in Anaesthesia

The probable cause is one or more of: something
Rapidly confirm ventilator ... provide manual ventilation ... • If expired CO2 ... CardiacArrest #Checklist ... Diagnosis #Management #Workup
Upper Lobe Lung Diseases - STAR CHASERS Mnemonic

S - Silicosis
T - Tuberculosis
A - Ankylosing Spondylitis
R -
overventilated (ratio of ventilation ... elimination of CO2 ... as metastatic pulmonary ... Pulmonary Diseases ... Silicosis - Coal worker
Noninvasive Ventilation Summary
Positive pressure ventilation that is delivered through a nasal, mask, or helmet interface and
Noninvasive Ventilation ... pressures • Decreases work ... breathing by improving pulmonary ... by washing out CO2 ... #management #pulmonary
Increased Airway Pressure - Guidelines for Crises in Anaesthesia

Using these steps from start to end should
bag moving OR ventilator ... switching to hand ventilation ... o Aspiration, pulmonary ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Intraoperative Laryngospasm and Stridor - Guidelines for Crises in Anaesthesia

❶ Call for help and inform theatre
Continued airway and ventilation ... negative-pressure pulmonary ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia
Outcome from cardiac arrest is determined by
positive pressure ventilation ... • PCO2 > 4.5 ... Intraoperative #Checklist ... Diagnosis #Management #Workup