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diagnosis management treatment algorithm workup anesthesia anesthesiology checklist clinical comparison differential foamed intraoperative pharmacology arrest cardiomyopathy catheterization cathlab chf clinica
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
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
telemetry, 12-Lead EKG ... Reversibles 3) Stabilize ... dilated IVC - Cardiac ... Cardiac surgery? ... Management #Summary #criticalcare
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
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 ... consultation with cardiology
Inpatient Cath Lab Indications Cath Lab ASAP: STEMI NSTEMI: 1. Unstable/cardiogenic shock 2. Severe LV dysfunction or 3. Recurrent/persistent rest angina despite
Unstable/cardiogenic shock ... low (1-2) risk, +ECG ... Rx: NSTEMI/UA: stable ... #Indications #Cardiac ... catheterization #cardiology
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 ... arrythmias Diagnostics: EKG ... Stress #Testing #cardiology
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia Outcome from cardiac arrest is determined by
Guidelines for Crises ... dysfunction / instability ... Obtain 12-lead ECG ... and discuss with cardiology ... Guidelines for crises
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
ECG is vital while ... essentially Cardiogenic Shock ... the determined cause ... #treatment #table ... heartfailure #chf #criticalcare
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
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
of the resting cardiac ... heart (Sepsis, Shock ... are typically able ... treat the primary cause ... management #clinical #criticalcare
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