28 results
Hypoxemia and Dyspnea - Rapid Response Management

1) Ask for vitals en route
2) Stabilize: Nasal canula 
3)
Hypoxemia and Dyspnea ... using hypoxemia ... NatalieRosen_MD #Hypoxemia ... #criticalcare # ... pulmonary #Hypoxia
Causes of Hypoxemia- Differential Diagnosis Algorithm
Ventilation/perfusion Mismatch
 • Airway Disease (Asthma, COPD)
 • Vascular (PE*)
 •
Causes of Hypoxemia ... perfusion Mismatch • Airway ... • Interstitial lung ... Abnormalities #Hypoxemia ... #Hypoxia #Differential
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Hyperacute Hypoxemia ... Therapeutics: Airway ... #Hyperacute #Hypoxemia ... #Hypoxia #Workup ... #diagnosis #Management
Hypoxemia / Hypoxia - Rapid Response Management Algorithm

Stridor - Upper airway pathology:
 • Anaphylaxis
 • Foreign
Hypoxemia / Hypoxia ... atelectasis • Lung ... Sophia_Hayes_MD #Hypoxemia ... #Hypoxia #differential ... #Diagnosis #Management
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
- Differential Diagnosis ... direction leads to hypoxemia ... hepatopulmonary syndrome ... Respiratory #Failure #hypoxia ... #Differential #Diagnosis
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Hypoventilation Syndrome ... Hepatopulmonary Syndrome ... , Interstitial Lung ... #Hypoxia #hypoxemia ... #differential #diagnosis
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Secondary to chronic lung ... disease (COPD) • Hypoxia ... • Pulmonary hypertension ... Management ... MAT #Cardiology #Diagnosis
Bronchiectasis - Summary

What?
• Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
Chronic cough • Hypoxia ... • Mounier-Kuhn syndrome ... polycythemia from chronic hypoxia ... in the adjacent lung ... of the affected lung
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Respiratory Distress Syndrome ... leading to increased pulmonary ... congestion with hypoxemia ... Summary #CheatSheet #Diagnosis ... #Management #CriticalCare
Intraoperative Bronchospasm - Guidelines for Crises in Anaesthesia

❶ Call for help and inform theatre team of
if possible – airway ... Consider alternate diagnoses ... consider → 2-2 Hypoxia ... Intraoperative #Checklist #Diagnosis ... #Management #Workup