14 results
diagnosis workup anesthesia anesthesiology intraoperative criticalcare cardiology differential treatment myocarditis admissions admitting algorithm biopsy cardiacarrest cardiomyopathy cyanosis hypokalemia hypotension hypoxia
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... Summary • Hypotension ... telemetry, 12-Lead EKG ... > Constrictive pericarditis ... Cardiac surgery?
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Shock - Differential ... Distributive: Sepsis, Anaphylaxis ... Pneumothorax, Cardiac ... , Constrictive pericarditis ... algorithm #treatment #management
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
• Chest pain, pericarditis ... gallop • Abnormal ECG ... • Cardiogenic shock ... , sudden cardiac ... death Management
Myocarditis 5 Principles of Myocarditis: 1. Build clinical suspicion 2. Decide on EMBx 3. Manage acute cardiac injury 4. Manage chronic
HF, Cardiogenic shock ... , Arrythmias, Pericarditis ... , Tamponade EKG ... Myocarditis #diagnosis #management ... #cardiology #summary
Vasopressors and Inotropes - Pharmacology Summary Vasopressors Phenylephrine (alpha-1) • Increases BP, SVR • Risk of reflex bradycardia
- Pharmacology Summary ... first agent in shock ... • 1st agent in anaphylaxis ... line in septic shock ... #management #medications
Checklist Approach to Hypokalemia Consider risk factors for arrhythmia: - EKG changes (especially QT prolongation) - Digoxin
Checklist Approach ... patients (including cardiac ... NPO, or profound shock ... Critical Care #Checklist ... #Hypokalemia #Management
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
Intraoperative Anaphylaxis ... • Unexpected cardiac ... alternate vasopressor (e.g ... Intraoperative #Checklist ... #Diagnosis #Management
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
• Check ECG rhythm ... 10) Acidosis Anaphylaxis ... CardiacArrest #Checklist ... Intraoperative #Checklist ... #Diagnosis #Management
Admitting in the ICU - Checklist VITALS: If bad, stop and go see the patient immediately; you
Admitting in the ICU - Checklist ... esp in work-up/management ... of shock MICRO ... note, discharge summary ... will also get an EKG
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
consider: o Cardiac ... ischaemia → 3-12 o Anaphylaxis ... → 3-1 o Cardiac ... Intraoperative #Checklist ... #Diagnosis #Management
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