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diagnosis anesthesiology intraoperative management workup differential criticalcare acidosis anaphylaxis cardiacarrest classification cyanosis elevation hypotension hypoxia inotropes lactate lactic pharmacology sepsis
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 ... Vasopressors #Inotropes #comparison ... #table #pharmacology
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
Shock - Differential ... dehydration due to renal ... findings based on cause ... Differential #Diagnosis #table ... #comparison #criticalcare
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
system including valves ... consider: o Cardiac ... Sepsis → 3-14 o Cardiac ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
breathing system valves ... • Check ECG rhythm ... CardiacArrest #Checklist ... Anesthesiology #Anesthesia ... 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
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 Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
Guidelines for Crises ... system including valves ... obtain 12-lead ECG ... hypovolaemia; primary cardiac ... Intraoperative #Checklist
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
to bolus these values ... perfusion - Cardiac ... failure - Low cardiac ... deficiency - Renal ... lactate production Renal
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
system including valves ... blood gas, 12-lead ECG ... ) → 3-12 o Cardiac ... Intraoperative #Checklist ... Management #Workup #anesthesia
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