14 results
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... a.k.a. neurogenic shock ... - Severe heart failure ... Obstructive (Mechanical ... Classification #Table
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Respiratory Support Algorithm ... intubated and mechanically ... ventilation, most ... criticalcare #hypoxia #failure ... #algorithm
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... and etiology of shock ... MI, Acute Heart Failure ... Valvular Disease, Mechanical ... management #comparison #table
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
multisystem organ failure ... bradyarrhythmias • Mechanical ... vascular → RV failure ... hypertension • Mechanical ... warm #wet #dry #table
Mechanical ventilation in obese patients according to the i-STAR Algorithm
Intubate
 • Anticipate difficult airway management and
Mechanical ventilation ... to the i-STAR Algorithm ... ARDSnet low-PEEP table ... patients #iSTAR #Algorithm ... #Obesity #Mechanical
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... • Severe heart failure ... ): • Mechanical ... uw_IMresidency #Shock ... Differential #Diagnosis #table
Community Acquired Pneumonia - Severity and Prognosis
Criteria for Severe CAP - Severe CAP present in 1
criteria: Septic shock ... , Respiratory failure ... requiring mechanical ... ventilation
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
ideal) Invasive Mechanical ... Ventilation • ... lung-protective ventilation ... criticalcare #hypoxia #failure ... #algorithm
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
be made on the basis ... pneumonia vs. heart failure ... #Noninvasive #Ventilation ... RespiratorySupport #Selection #Algorithm
Community Acquired Pneumonia - Presenting Features
 • History in favor of CAP: Dyspnea, Cough, particularly if
complicated by septic shock ... criteria: Septic shock ... , Respiratory failure ... requiring mechanical ... ventilation