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diagnosis management differential anesthesiology checklist intraoperative workup algorithm cardiology clinical foamed pharmacology acidosis anaphylaxis chf classification cyanosis echocardiogram elevation heartfailure
Common Vasopressors and Inotropes Norepinephrine (NE) - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
is not desired (e.g ... Bradyarrhythmias, Some cases ... #Inotropes #comparison ... #table #pharmacology ... #criticalcare
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 ... Anaphylaxis → 3-1 o Cardiac ... Sepsis → 3-14 o Cardiac
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexpected cardiac ... trolley, anaphylaxis treatment ... require prolonged treatment ... alternate vasopressor (e.g ... as patient is stable
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
Leukostasis vs Tumor Lysis Syndrome Leukostasis: • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
high WBC count cause ... AKI, acute limb ischemia ... priapism • Lab values ... unless worrisome EKG ... with tetany or cardiac
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
remember to tailor treatment ... system including valves ... obtain 12-lead ECG ... hypovolaemia; primary cardiac ... Anesthesiology #Anesthesia
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
to bolus these values ... perfusion - shock->treatments ... before beginning treatment ... perfusion - Cardiac ... failure - Low cardiac
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
EGPA) • Digital ischemia ... (UPC) ratio • Cardiac ... recent DAN) • EMG ... Goodpasture's cause ... diagnosis #management #treatment
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
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
/crush injury, ischemia ... heparinized tube) • ECG ... only if no clear cause ... Elimination (see Table ... line, stabilizes cardiac
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