17 results
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... Summary • Hypotension ... Stabilize and Survey ... Cardiac surgery? ... #Diagnosis #Management
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
initially include hypotension ... Pneumothorax, Cardiac ... pancreatitis, post-cardiac ... , Medications (anesthesia ... #diagnosis #differential
Hypertension in Anesthesiology - Differential Diagnosis and Management 

Initial checklist: 
 - Verify BP (e.g. surgeon
Hypertension in ... Anesthesiology - Differential ... Diagnosis and Management ... Verify BP (e.g. surgeon ... - Increase anesthetic
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Hypotension ... extremities, oliguria, lactic ... Fick calculated cardiac ... IF LVEDP >15 or Cardiac ... DCSI #Initiative #Management
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
Intraoperative Cardiac ... abnormalities (hypo- or hypertension ... rapidly complete the surgery ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
delivery • Pause surgery ... consider: o Cardiac ... #Differential # ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia

Severe sepsis (hypotension persisting after initial fluid challenge of
Severe sepsis (hypotension ... cause) or septic shock ... Consider monitoring cardiac ... abandon or limit surgery ... Anesthesiology #Anesthesia
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
• Unexplained hypotension
• Unexplained bronchospasm (wheeze may be absent
• Unexpected cardiac ... non-essential surgery ... . ❷ Call for cardiac ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 • Decreased O2 Delivery: Hypotension
- Differential Diagnosis ... Decreased O2 Delivery: Hypotension ... Cardiogenic & Septic Shock ... Severe Anemia, Cardiac ... #Acidosis #Differential
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
Signs: hypotension ... unexplained loss of cardiac ... consult vascular surgeon ... N2O • Tell surgeon ... Anesthesiology #Anesthesia