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management workup anesthesiology checklist intraoperative differential criticalcare cardiology pharmacology treatment inotropes testing acidosis algorithm amyloid amyloidosis anaphylaxis arrest cardiacarrest cardiomyopathy
Vasopressors Table Rough properties by Target Receptor, Heart Rate/Inotropy, Systemic Vascular Resistance, Cardiac Output, Blood Pressure,
Vasopressors Table ... Vascular Resistance, Cardiac ... Resistance, Main Uses ... Internet Book of Critical ... Effect #Management #Comparison
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
system including valves ... Consider giving vasopressor ... consider: o Cardiac ... Sepsis → 3-14 o Cardiac ... Intraoperative #Checklist #Diagnosis
Common Vasopressors and Inotropes Norepinephrine (NE) - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
Common Vasopressors ... Bradyarrhythmias, Some cases ... ischemia #Vasopressors ... #Inotropes #comparison ... #table #pharmacology
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
give alternate vasopressor ... (e.g. metaraminol ... as patient is stable ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... help and inform clinical ... • Call for cardiac ... • Diagnostic ... Anesthesiology #Anesthesia
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
likely underlying cause ... devices could have caused ... Consider monitoring cardiac ... aid fluid and vasopressor ... Intraoperative #Checklist #Diagnosis
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
Cardiac Arrest - ... • Call for cardiac ... breathing system valves ... • Check ECG rhythm ... Intraoperative #Checklist #Diagnosis
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
- Differential Diagnosis ... Vascular → PE, PAH ... findings based on cause ... #Differential #Diagnosis ... #table #comparison
Cardiac Stress Testing Exercise: • Everyone who can exercise should! • They must be able to raise
Cardiac Stress Testing ... • They must be able ... 85% of predicted value ... production to cause ... : EKG ($), ECHO
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
system including valves ... obtain 12-lead ECG ... hypovolaemia; primary cardiac ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis
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