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diagnosis management workup anesthesia anesthesiology intraoperative treatment cardiology comparison differential pharmacology algorithm anaphylaxis arrest cardiomyopathy chf clinical cooling foamed heartfailure
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
Checklist Approach to Hypokalemia Consider risk factors for arrhythmia: - EKG changes (especially QT prolongation) - Digoxin
arrhythmia: - EKG ... their validity (e.g ... clinical context & EKG ... patients (including cardiac ... NPO, or profound shock
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
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 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
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
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
likely underlying cause ... ) or septic shock ... Consider monitoring cardiac ... cultures if possible (eg ... Intraoperative #Checklist
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 ... Guidelines for crises ... Intraoperative #Checklist
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 ... cardiology #treatment #table ... heartfailure #chf #criticalcare
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