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diagnosis management anesthesiology checklist intraoperative workup criticalcare pulmonary acidosis bradycardia cardiacarrest cardiology classification cyanosis elevation hematology hyperthermic hypotension hypoxemia inotropes
Hypoxia and Hypoxemia - Overview Hypoxia - insufficient oxygen delivered to tissues to meet demands Hypoxemia - low
) - Low PaO2 ISCHEMIC ... (e.g low cardiac ... carrying capacity (e.g ... #pulmonary #differential ... #diagnosis #causes
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
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
system including valves ... consider: o Cardiac ... ischaemia → 3-12 ... Sepsis → 3-14 o Cardiac ... #Hypotension #Differential
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
Cardiac Arrest - ... breathing system valves ... • Check ECG rhythm ... 4 H’s, 4 T’s: Hypoxia ... CardiacArrest #Checklist #Differential
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
system including valves ... blood gas, 12-lead ECG ... ischaemia (or infarction ... ) → 3-12 o Cardiac ... Management #Workup #anesthesia
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
Lactic Acidosis - Differential ... to bolus these values ... perfusion - Cardiac ... failure - Low cardiac ... Acidosis #Elevation #Differential
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
Shock - Differential ... Vascular → PE, PAH ... findings based on cause ... #Diagnosis #table ... #comparison #criticalcare
Leukostasis vs Tumor Lysis Syndrome Leukostasis: • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
high WBC count cause ... coma - Pulm: Hypoxia ... AKI, acute limb ischemia ... priapism • Lab values ... unless worrisome EKG
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
nose deformity • Cardiac ... EGPA) • Digital ischemia ... (UPC) ratio • Cardiac ... recent DAN) • EMG ... Goodpasture's cause
Bradycardia - Differential Diagnosis • Cardiac disease: Myocardial ischemia / infarction, Myocarditis, Congenital disorders, Cardiomyopathies,
Bradycardia - Differential ... Diagnosis • Cardiac ... disease: Myocardial ischemia ... degeneration • Hypoxia ... Physiological causes
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