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diagnosis management workup anesthesia anesthesiology intraoperative cardiology differential pharmacology treatment shock vasopressors algorithm anaphylaxis arrest cardiomyopathy chf clinical cooling effect
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 ... Effect #Management #Comparison ... #Inotropes
Common Vasopressors and Inotropes Norepinephrine (NE) - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
Vasopressors and Inotropes ... is not desired (e.g ... is not desired (e.g ... #comparison #table ... #pharmacology #criticalcare
Cardiac Stress Testing Exercise: • Everyone who can exercise should! • They must be able to raise
Cardiac Stress Testing ... • They must be able ... production to cause ... and asthma • Inotropes ... arrythmias Diagnostics: EKG
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
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
→ tension PTX, cardiac ... Vascular → PE, PAH ... findings based on cause ... Differential #Diagnosis #table ... #comparison #criticalcare
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... , e.g. central line ... pericardiocentesis kit (eg ... • Inotropic ... Intraoperative #Checklist
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
telemetry, 12-Lead EKG ... Reversibles 3) Stabilize ... Cardiac surgery? ... Vasopressors, Inotropes ... Management #Summary #criticalcare
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia Outcome from cardiac arrest is determined by
Guidelines for Crises ... dysfunction / instability ... Consider vasopressor/inotrope ... Obtain 12-lead ECG ... Intraoperative #Checklist
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexpected cardiac ... arrest where other causes ... alternate vasopressor (e.g ... as patient is stable ... Intraoperative #Checklist
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
exclude other causes ... cardiomyopathy (e.g ... hemodynamics (e.g ... LVEF recovery (e.g ... teratogenic GDMT meds (e.g
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