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management diagnosis anesthesiology checklist intraoperative criticalcare differential acidosis airway alkalosis failure interpretation pulmonary respiratory acidbase bipap bloodgas cardiac exacerbation hypoxia
Severe Asthma Exacerbation Signs of a Severe Asthma Exacerbation: • Vitals: ↑HR ↑RR ↓SpO2 • High work
↓SpO2 • High work ... poor air flow • ABG ... : - High pCO2 ... Abnormally normal ABG ... with increased work
Approach to Acid Base Disorders - Evaluation and Differential Diagnosis 1) Start with the Anion Gap (AG). 2)
Do you need an ABG ... approximates an ABG ... and ~5 mmHg to pCO2 ... Decreased Mechanical Ventilation ... Disorders #Evaluation #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
Index CARDIAC WORK ... RCWI Cardiac Work ... 0.0144 Cardiac Work ... VT*RR Minute Ventilation ... age-corrected PAO2
Mains Electricity Failure - Guidelines for Crises in Anaesthesia Unexpected total power failure is rare and unpredictable.
B). ❹ Ensure ventilation ... continues: • Manual ventilation ... to spontaneous ventilation ... Anesthesiology #Anesthesia ... Diagnosis #Management #Workup
Non-Invasive Ventilation (BiPAP) Algorithm - Indications and Contraindications Indications for NIV: • COPD - pH <7.35, pCO2
Non-Invasive Ventilation ... (BiPAP) Algorithm ... COPD - pH <7.35, pCO2 ... #Noninvasive #Ventilation ... #BiPAP #Algorithm
Capnography Measurement of exhaled carbon dioxide can be used to confirm ETT placement, for safer procedural sedation,
capnography) • PACO2 ... venous CO2 • PaCO2 ... measured on an ABG ... with alveolar ventilation ... Ill — alveolar ventilation
Approach to Selecting Respiratory Support: -The role of noninvasive respiratory support is generally to reduce the patient's
the patient's work ... normalize the ABG ... than monitoring ABG ... #Noninvasive #Ventilation ... RespiratorySupport #Selection #Algorithm
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 Difficult Airway Algorithm 1. Assess the likelihood and clinical impact of basic management problems: • Difficulty
Difficult Airway Algorithm ... Difficult mask ventilation ... of spontaneous ventilation ... Difficult #airway #algorithm ... Anesthesiology #Anesthesia
Intraoperative Patient Fire - Guidelines for Crises in Anaesthesia Evidence of fire (smoke, heat, odour, flash, flame)
• Discontinue ventilation ... • Re-establish ventilation ... • Re-establish ventilation ... Anesthesiology #Anesthesia ... Diagnosis #Management #Workup
Intraoperative Hypertension - Guidelines for Crises in Anaesthesia Hypertension is most commonly due to inappropriate depth of
confirm reservoir bag ... moving OR ventilator ... using reservoir bag ... Anesthesiology #Anesthesia ... Diagnosis #Management #Workup
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