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diagnosis management anesthesia anesthesiology workup intraoperative clinical differential criticalcare ultrasound cardiac cardiology comparison echocardiogram hypotension instructions 3d a2c abcds abcs
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
↓ CO, ↑ SVR, ↓ PCWP ... , narrow pulse pressure ... ↓ CO, ↑ SVR, ↑ PCWP ... ↓ CO, ↑ SVR, ↓ PCWP ... findings based on cause
ICU Hypotension - Evaluation Algorithm OFTEN Mnemonic: OWN THE PULSE PRESSURE FEEL YOUR PATIENT'S LEGS TEST FOR FLUID
OWN THE PULSE PRESSURE ... RESPONSIVENESS ECHO/POCUS ... OFTEN #Mnemonic #Checklist
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
Feel the airway pressure ... intrathoracic pressure ... recheck blood pressure ... intrathoracic pressure ... Intraoperative #Checklist
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
should identify any cause ... surgery related cause ... Consider potential causes ... POTENTIAL CAUSES ... Intraoperative #Checklist
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
The probable cause ... evaluating potential causes ... Evaluate the airway pressure ... CardiacArrest #Checklist ... Intraoperative #Checklist
Intraoperative Hypertension - Guidelines for Crises in Anaesthesia Hypertension is most commonly due to inappropriate depth of
Recheck blood pressure ... hypercarbia as causes ... Feel the airway pressure ... raised intracranial pressure ... Intraoperative #Checklist
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
Guidelines for Crises ... rhythm and blood pressure ... Consider known drug causes ... Guidelines for crises ... Intraoperative #Checklist
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
Guidelines for Crises ... likely underlying cause ... devices could have caused ... mean arterial pressure ... Intraoperative #Checklist
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
arrest where other causes ... chlorhexidine as cause ... as a possible cause ... systolic blood pressure ... Intraoperative #Checklist
Empyema Necessitans (EN) on Chest POCUS Pulmonary teaching case: you are called to the bedside of a
(EN) on Chest POCUS ... Pulmonary teaching case ... chest drain on POCUS ... intra-thoracic pressure ... intra-thoracic pressure
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