17 results
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
is not desired (e.g ... is not desired (e.g ... Bradyarrhythmias, Some cases ... Inotropes #comparison #table ... #pharmacology #criticalcare
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
Guidelines for Crises ... trolley and 12-lead ECG ... Treat haemodynamic instability ... CM5 continuous ECG ... Obtain a 12-lead ECG
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... possible w/ early shock ... telemetry, 12-Lead EKG ... Reversibles 3) Stabilize ... Management #Summary #criticalcare
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
for Three Common Causes ... when possible (eg ... dysrhythmias (eg ... reverse the insult (eg ... #CriticalCare
Shock - Differential Diagnosis by Classification
Reflex Syncope 
 - Vasovagal syncope
   • Prolonged standing
Shock - Differential ... Medication side effect (e.g ... Medication side effect (e.g ... Classification #Table ... #Causes
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... Vascular → PE, PAH ... findings based on cause ... Differential #Diagnosis #table ... #comparison #criticalcare
Approach to Hemorrhagic Shock
PLAN FOR CONTROLLING HEMORRHAGE & ACTIVATE MASSIVE TRANSFUSION PROTOCOL
 • Activate massive transfusion
to Hemorrhagic Shock ... a fixed ratio, e.g ... Use hemodynamic stability ... #Hemorrhagic #Shock ... Management #Summary #CriticalCare
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
as for septic shock ... (e.g. moderate ... resuscitation (e.g ... choledolithiasis (e.g ... Diagnosis #Management #CriticalCare
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia

Severe sepsis (hypotension persisting after initial fluid challenge of
likely underlying cause ... ) or septic shock ... devices could have caused ... cultures if possible (eg ... Anesthesiology #Anesthesia
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
• Unexplained hypotension
• Unexplained bronchospasm (wheeze may be absent
in Anaesthesia ... arrest where other causes ... alternate vasopressor (e.g ... as patient is stable ... Anesthesiology #Anesthesia