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diagnosis management anesthesia anesthesiology workup cardiology differential intraoperative causes hypoxia rhc abcds abcs airway anatomy apples artery basicplan basics calculations
Oxygen Delivery Equation DO2 = CO x {(1.39 x Hb x sO2) + (PaO2 x 0.03)} DO2 =
Oxygen Delivery ... x 0.03)} DO2 = Rate ... of oxygen delivery ... #pathophysiology ... #pulmonary #apples
Right Heart Catheterization Cheat Sheet: Interpretation of Pressures and Waveforms Direct measurements ● Central venous pressure
(PAp) ● Pulmonary ... SVI = CI/heart rate ... SVI x 0.136) ● Oxygen ... delivery (DO2 = ... Hb x SaO2) ● Oxygen
Mask Oxygen Delivery Devices Simple Mask aka Hudson's Mask: • Flow 6-10 LPM • FiO2 35-50% Face Tent:
Mask Oxygen Delivery ... not tolerate a tight-fitting ... specified flow rate ... • FiO2 24-60% Partial ... #management #pulmonary
Hypoxia and Hypoxemia - Overview Hypoxia - insufficient oxygen delivered to tissues to meet demands Hypoxemia - low
delivered to tissues ... dissolved in arterial ... content of arterial ... Hypoxemia #summary #pulmonary ... diagnosis #causes #pathophysiology
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
→ ↓ → →↑ Pulmonary ... Cardiac Work Index, Right ... Stroke Work Index, Right ... Delivery DO2 | ... Delivery Index
Intraoperative Hypertension - Guidelines for Crises in Anaesthesia Hypertension is most commonly due to inappropriate depth of
problem in adequate oxygen ... delivery, airway ... stimulus. ❷ Adequate oxygen ... delivery • Check ... Intraoperative #Checklist
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
. ❶Adequate oxygen ... delivery • Pause ... AND give 100% oxygen ... o Aspiration, pulmonary ... Intraoperative #Checklist
Uncommon Causes of Noncardiogenic Pulmonary Edema (NCPE) - Differential Diagnosis Framework High Altitude Pulmonary Edema: • Accumulation
crackles in the right ... - Amount of oxygen ... evidence of left atrial ... decreased respiratory rate ... • Pathophysiology
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO •
Right Heart Catheterization ... hydraulic energy delivered ... correlate in the SHOCK trial ... equipment to measure oxygen ... nomogram-based estimates of oxygen
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
❶ Adequate oxygen ... delivery • Pause ... AND give 100% oxygen ... o Aspiration, pulmonary ... Intraoperative #Checklist
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