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diagnosis management anesthesia anesthesiology intraoperative workup differential inotropes pharmacology amyloidosis anaphylaxis arrest cooling criticalcare effect evacuation hyperkalemia hyperthermic hypotension ischaemia
Vasopressors Table Rough properties by Target Receptor, Heart Rate/Inotropy, Systemic Vascular Resistance, Cardiac Output, Blood Pressure,
Vasopressors Table ... Vascular Resistance, Cardiac ... Resistance, Main Uses ... #Properties #Table ... Effect #Management #Comparison
Common Vasopressors and Inotropes Norepinephrine (NE) - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
Common Vasopressors ... is not desired (e.g ... is not desired (e.g ... #Inotropes #comparison ... #table #pharmacology
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
trolley and 12-lead ECG ... Treat haemodynamic instability ... CM5 continuous ECG ... Obtain a 12-lead ECG ... Intraoperative #Checklist
Amyloidosis - Summary Group of disorders associated with extracellular deposition of fibrils formed from low-molecular-weight proteins in
• Heavy-chain (AH ... in AA and AL Cardiac ... LVH, low-voltage EKG ... typing Cardiac ... Testing: • EKG
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
Consider giving vasopressor ... and positioning (e.g ... consider: o Cardiac ... (eg steroid dependency ... Intraoperative #Checklist
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia Outcome from cardiac arrest is determined by
Guidelines for Crises ... dysfunction / instability ... Consider vasopressor ... Obtain 12-lead ECG ... Intraoperative #Checklist
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexpected cardiac ... give alternate vasopressor ... (e.g. metaraminol ... as patient is stable ... Intraoperative #Checklist
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
likely underlying cause ... Consider monitoring cardiac ... aid fluid and vasopressor ... cultures if possible (eg ... Intraoperative #Checklist
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
heparinized tube) • ECG ... only if no clear cause ... Elimination (see Table ... line, stabilizes cardiac ... concurrent need for vasopressor
Hyperthermic Toxidromes Five toxidromes may present with overlapping features: hyperthermia, rhabdomyolysis, altered mental status/seizures. • Sympathomimetic -
in the CNS, on cardiac ... dopamine blockers (e.g ... dopamine agonists (e.g ... pharmacogenetic disease caused ... #table #diagnosis
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