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Massive Hemoptysis - Diagnosis and Management • Definitions: - Hemoptysis = bleeding from
respiratory tract (e.g ... • Workup • General ... Management • Airway ... Management #treatment #workup ... #pulmonary #criticalcare
Checklist for Evaluation of New-Onset Delirium in the ICU Initial assessment - Vital signs, neuro exam
Relevant drug levels (e.g ... tox/infectious workup ... rigidity) Consider EEG ... Delirium #Evaluation #Workup ... #MICU #CriticalCare
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia This is the last resort when
Check optimal airway ... , supraglottic airway ... expertise e.g. ... Intubation #Difficult #Anesthesiology ... Diagnosis #Management #Workup
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
• Check airway ... and positioning (e.g ... Endocrine cause (eg ... #Differential #Anesthesiology ... Diagnosis #Management #Workup
Auto-PEEP What is Auto-PEEP? • Progressive air trapping & dynamic hyperinflation → ↑Palv at end expiration
to expiratory airway ... resistance (e.g ... resistance (e.g ... acute scenario (e.g ... diagnosis #management #criticalcare
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
Increased Airway ... cause of increased airway ... blood gas, 12-lead ECG ... #Differential #Anesthesiology ... Diagnosis #Management #Workup
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
• Confirm airway ... • Feel the airway ... obtain 12-lead ECG ... #Tachycardia #Anesthesiology ... Diagnosis #Management #Workup
Intraoperative Laryngospasm and Stridor - Guidelines for Crises in Anaesthesia ❶ Call for help and inform theatre
obstructing the airway ... , e.g. suction catheters ... sure that the airway ... Laryngospasm #Stridor #Anesthesiology ... Diagnosis #Management #Workup
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... malignant syndrome (e.g ... Differential #Causes #Anesthesiology ... Diagnosis #Management #Workup
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... Ischemia #Ischaemia #Anesthesiology ... Diagnosis #Management #Workup
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