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diagnosis differential algorithm anesthesia anesthesiology cardiacarrest checklist hematology intraoperative syndrome workup acls adult aha2020 criticalcare lifesupport summary acidosis acute ards
Hypoxia and Hypoxemia - Overview Hypoxia - insufficient oxygen delivered to tissues to meet demands Hypoxemia - low
(e.g low cardiac ... carrying capacity (e.g ... abnormal hemoglobin (e.g ... cannot use oxygen (e.g ... #diagnosis #causes
Hypoxemia / Hypoxia - Rapid Response Management Algorithm Stridor - Upper airway pathology: • Anaphylaxis • Foreign
Hypoxemia / Hypoxia ... CNS depression (e.g ... wall compliance (e.g ... Sophia_Hayes_MD #Hypoxemia ... #Hypoxia #differential
Multifocal Atrial Tachycardia (MAT) • At least 3 different P wave morphologies: • Rate 100-180 • Irregular Etiology
disease (COPD) • Hypoxia ... • Pulmonary hypertension ... Management ... Cardiology #Diagnosis #ECG ... #EKG #Management
Hypoxemic Respiratory Failure - Differential Diagnosis Framework DECREASED INSPIRED OXYGEN • Low PATM Can decrease first part
High altitude (eg ... direction leads to hypoxemia ... Intrapulmonary shunting (eg ... intracardiac shunting (eg ... Respiratory #Failure #hypoxia
Erythrocytosis - Polycythemia Differential Diagnosis Algorithm Elevated Hemoglobin: • Males: Hb > 16.5 g/dL/HCT ≥ 49% •
Polycythemia - Acquired Causes ... : • Hypoxia-driven ... : Cardiac/pulmonary ... altitude habitat • Hypoxia-independent ... Paraneoplastic (e.g
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet An acute diffuse, inflammatory lung injury, leading to
leading to increased pulmonary ... congestion with hypoxemia ... consistent with pulmonary ... objective assessment“ (e.g ... the underlying cause
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
usually: - hypoxemia ... by excretion (e.g ... its metabolism (e.g ... patient with shock/hypoxemia ... hypoperfusion/ hypoxemia
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
Intraoperative Hypoxia ... of unexpected hypoxia ... is secondary to hypoxia ... blood gas, 12-lead ECG ... AND ACTIONS • Hypoxia
Leukostasis vs Tumor Lysis Syndrome Leukostasis: • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
high WBC count cause ... coma - Pulm: Hypoxia ... unless worrisome EKG ... TLS #diagnosis #management ... #hematology
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
in Anaesthesia Causes ... , tachycardia, hypoxemia ... Consider thrombolysis e.g ... over 2 h (>65 kg ... mainstay of initial management
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