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management diagnosis differential anesthesia anesthesiology checklist intraoperative mechanical treatment algorithm nippv noninvasive ac airway assistcontrol asthma bilevel bipap bpap cardiacarrest
Severe Asthma Exacerbation Signs of a Severe Asthma Exacerbation: • Vitals: ↑HR ↑RR ↓SpO2 • High work
↓SpO2 • High work ... with increased work ... • Initial ventilator ... #Exacerbation #CriticalCare ... #pulmonary #ventilation
Approach to Selecting Respiratory Support: -The role of noninvasive respiratory support is generally to reduce the patient's
the patient's work ... -Serial evaluation ... monitoring ABG values ... #Management #CriticalCare ... #Noninvasive #Ventilation
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 Work Shifting - Mechanical Ventilation Why the new term: Synchrony issues, by definition, have to do with timing.
Mechanical Ventilation ... is done by the ventilator ... by the ventilator ... Troubleshooting #diagnosis #criticalcare ... #pulmonary
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Survey 4) Workup ... Tamponade - Pulmonary ... Management #Summary #criticalcare ... #treatment #workup
Clinical Management for Three Common Causes of Shock HEMORRHAGIC SHOCK • Ensure adequate ventilation and oxygenation.
Ensure adequate ventilation ... Ameliorate increased work ... pressure (PEEP) for pulmonary ... oxygenation; remove work ... #CriticalCare
Approach to Undifferentiated Shock - OnePager Summary Shock occurs when there is inadequate blood flow (CO) &
Undifferentiated Shock ... OnePager Summary Shock ... myocarditis, etc), Valves ... Cardiac Tamponade, Pulmonary ... guyton #curves #criticalcare
Volume Assist/Control Mechanical Ventilation How does this mode work? • Delivers a set volume of air with
Control Mechanical Ventilation ... does this mode work ... Lung Protective Ventilation ... #AC #criticalcare ... #pulmonary
Noninvasive Positive Pressure Ventilation (NIPPV) Expiratory & Inspiratory Positive Airway Pressure Both increase intrathoracic pressure, which can decrease
Positive Pressure Ventilation ... exacerbation (cardiogenic pulmonary ... status • Won't Work ... PositivePressure #Ventilation ... #indications #criticalcare
Perform computations online at: ScyMed.com 6th ED ICU-card «ICU, Formulas & Drugs» HEMODYNAMIC PATTERNS Condition SAP CVP PAP PCWP CO C(a-v)02 PVR SVR Hypovolemic shock ↓ ↓ ↓ ↓ ↓ ↑ ↑ ↑ Cardiogenic shock ↓ 1 ↑ 1 1 ↑ Septic shock ↓ ↓ ↓ ↓ ↑ ↓ ↓ ↓ Cardiac Tamponade . ↑ ↑ 1 ↓ → ↑ RV
SVR Hypovolemic shock ... ↑ Cardiogenic shock ... 1 ↑ Septic shock ... RR abbrev ni values ... VT*RR Minute Ventilation
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
system including valves ... bag moving OR ventilator ... switching to hand ventilation ... o Aspiration, pulmonary ... Diagnosis #Management #Workup
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