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diagnosis management anesthesia anesthesiology intraoperative differential clinical treatment echocardiogram pericardial shock tamponade algorithm chf complex heartfailure icu plax a4c acidosis
Chest Pain - Diagnosis and Workup Algorithm History and Exam Acute life-threatening causes: • Acute myocardial infarction •
life-threatening causes ... Pneumothorax • Pulmonary ... embolism • Cardiac ... : • EKG • Bedside ... ultrasound • CXR
Severe Heart Failure & Cardiogenic Shock - Management Checklist Evaluation - EKG & echocardiography
Evaluation - EKG ... Liver function tests ... edema - Large effusion ... Nephrotoxins (e.g ... channel blocker (eg
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework IATROGENIC DISEASE Secondary to invasive cardiac procedures NONIATROGENIC • Malignancy (e.g., metastatic spread:
• Malignancy (e.g ... patients with pulmonary ... OTHER RARE CAUSES ... • PRIMARY Cardiac ... Differential #Diagnosis #cardiology
Clinical Management for Three Common Causes of Shock HEMORRHAGIC SHOCK • Ensure adequate ventilation and oxygenation.
for Three Common Causes ... when possible (eg ... dysrhythmias (eg ... pressure (PEEP) for pulmonary ... reverse the insult (eg
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... consultation with cardiology ... Intraoperative #Checklist
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
of blood, pus, effusion ... , e.g. central line ... pericardiocentesis kit (eg ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
telemetry, 12-Lead EKG ... and Survey 4) Workup ... Tamponade - Pulmonary ... Cardiac surgery? ... Management #Summary #criticalcare
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
rate, rhythm, perfusion ... and positioning (e.g ... (eg steroid dependency ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Extracorporeal Membrane Oxygenation (ECMO) - Basics Mode of cardiopulmonary support used to treat pulmonary and/or cardiovascular failure
used to treat pulmonary ... flow supports cardiac ... oxygenator • Assess perfusion ... (eg, NIRS, SVO2 ... #criticalcare
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework NCPE Pathophysiology: Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Causes include: ... lack of acute cardiac ... level <100 pg/ml EKG ... ischemic changes CXR ... differential #diagnosis #cardiology
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