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diagnosis management anesthesia anesthesiology intraoperative workup differential cardiology clinical pharmacology pulmonary renal acidosis algorithm anaphylaxis aortic bradycardia calculi calculus cardiacarrest
Lung Abscess - Diagnosis and Management Summary Lung Abscess Etiology: • Necrosis of lung parenchyma by a
• Most common cause ... antibiotics once stable ... shows a small, stable ... • Vasculitis (e.g ... #differential #causes
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 ... arrythmias Diagnostics: EKG
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
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... , e.g. central line ... pericardiocentesis kit (eg ... thoracotomy is a better treatment ... Intraoperative #Checklist
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
system including valves ... and positioning (e.g ... consider: o Cardiac ... (eg steroid dependency ... Intraoperative #Checklist
Leukostasis vs Tumor Lysis Syndrome Leukostasis: • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
high WBC count cause ... priapism • Lab values ... sudden death • Lab values ... unless worrisome EKG ... with tetany or cardiac
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
breathing system valves ... • If i.v. access ... • Check ECG rhythm ... CardiacArrest #Checklist ... Intraoperative #Checklist
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
trolley, anaphylaxis treatment ... require prolonged treatment ... alternate vasopressor (e.g ... as patient is stable ... Intraoperative #Checklist
Aortic Dissection Pearls Aortic dissection is caused by a tear in the tunica intima, the innermost layer
dissection is caused ... tissue disorder e.g ... disease • Cardiac ... deficit • Shock Treatment ... blood pressure: e.g
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Establish IV/IO Access ... telemetry, 12-Lead EKG ... Cardiac surgery? ... Management #Summary #criticalcare ... #treatment #workup
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