12 results
COVID-19 POCUS

96 yrs old, discharged 3 wks ago for CAP, treated with amox/clav then cefixime. Returns
CXR with consolidation ... and likely effusion ... But this ultrasound ... bilateral pattern ... Clinical #Lung #Ultrasound
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
of blood, pus, effusion ... indicated, start CPR ... Plan definitive management ... Anesthesiology #Anesthesia #Intraoperative ... Checklist #Diagnosis #Management
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
Fat infiltrates maternal ... AP, ↑INR, ↑BUN/Cr ... Antithrombin Ill • Ultrasound ... Intrahepatic Cholestasis Management ... obgyn #diagnosis #management
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
gallop rhythm), and laterally ... alveolar edema, bilateral ... pleural effusions ... → no signs of CXR ... heartfailure #diagnosis #management
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
Pancreatitis management ... guide etiology & management ... - RUQ ultrasound ... Intubated: Initiate enteral ... pain-dose ketamine infusion
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia
Signs of severe toxicity:
 • Sudden alteration in
anaesthetic (remember infusion ... Start continuous CPR ... Anesthesiology #Anesthesia #Intraoperative ... Checklist #Diagnosis #Management
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
• Unexplained hypotension
• Unexplained bronchospasm (wheeze may be absent
Intraoperative Anaphylaxis ... arrest, start CPR ... an adrenaline infusion ... Anesthesiology #Anesthesia #Intraoperative ... Checklist #Diagnosis #Management
Pericardial Effusion seen during CPR on POCUS Echocardiogram

This patient was given an anesthetic and became unresponsive
Pericardial Effusion ... seen during CPR ... best choice for management ... #Pericardial #Effusion ... #clinical #ultrasound
High Central Neuraxial Block - Guidelines for Crises in Anaesthesia
• Can occur with deliberate or accidental
fluid by rapid infusion ... • CPR may be ... Anesthesiology #Anesthesia #Intraoperative ... Checklist #Diagnosis #Management
Esophageal Rupture with Gastric Contents seen on Lung Ultrasound
Middle aged patient with oesophageal Ca presents generally
Contents seen on Lung Ultrasound ... Patient had CXR ... large pleural effusion ... echogenic mobile material ... #Lung #Ultrasound