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diagnosis differential causes anesthesia anesthesiology checklist criticalcare comparison intraoperative overview perioperative sepsis treatment types afib arrest atrial cardiac cardiogenic cardiology
Bedside Classification of Shock Hypovolemic shock - Vomiting, diarrhea, overdiuresis - Hemorrhage (GI, peritoneal, RP) Distributive shock
Bedside Classification ... Acute valve dysfunction ... Prosthetic valve dysfunction ... #Classification ... Cardiogenic #Comparison #Table
Shock Classification Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... END-ORGAN DYSFUNCTION ... #Classification ... Types #diagnosis #management ... warm #wet #dry #table
Systemic Inflammatory Response Syndrome (SIRS) • Non-specific (infections vs non-infectious) • ≥2 of the following: o Temp >38°C or <36°C o HR >90 bpm o RR
Sepsis • Organ dysfunction ... hypoperfusion/organ dysfunction ... Septic Shock • ... >2 mmol/L Management ... Sepsis Campaign Guidelines
Hypomagnesemia - Etiologies by Mechanism Decreased GI Uptake - Poor dietary intake (particularly common in alcoholics)
renal tubular dysfunction ... Low #Magnesium #Table ... #Classification ... #Causes #Workup
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... death -> end-organ dysfunction ... #Classification ... #diagnosis #management ... differential #causes #classification
Shock Types - Classification State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Types - Classification ... shock. ... END-ORGAN DYSFUNCTION ... #Classification ... types #diagnosis #management
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... death -> end-organ dysfunction ... #Classification ... #diagnosis #management ... differential #causes #classification
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
Intraoperative Sepsis - Guidelines ... cause) or septic shock ... with end organ dysfunction ... Discuss ongoing management ... #Workup
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Hyperthermia - Guidelines ... permanent organ dysfunction ... Reference Handbook - Guidelines ... Checklist #Diagnosis #Management ... #Workup
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
Idiopathic LV dysfunction ... thrombus, RV systolic dysfunction ... Pts: cardiogenic shock ... Delivery • Stable ... e.g., <50%), ESC guidelines
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