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management diagnosis anesthesia checklist intraoperative criticalcare differential mechanical noninvasive pressure ac airway algorithm assistcontrol bpap breathing cardiacarrest cpap cyanosis hypoxia
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
High CO / Low SVR ... Failure, Toxins/Medications ... • Obstructive: Pulmonary ... Embolism, Tension ... ) UOP > 0.5 cc/kg
SPONT - Spontaneous Breathing = Pressure Support Ventilation Summary Basic Set Parameters: 1) Pressure Support (PS)
Pressure Support Ventilation ... do some of the work ... means the patient ↑work ... > 8cc/kg at 6/6 ... #pulmonary
Noninvasive Ventilation Summary Positive pressure ventilation that is delivered through a nasal, mask, or helmet interface and
pressures • Decreases work ... breathing by improving pulmonary ... tidal volumes (Vt ... for barotrauma (eg ... #management #pulmonary
Noninvasive Positive Pressure Ventilation (NIPPV) Expiratory & Inspiratory Positive Airway Pressure Both increase intrathoracic pressure, which can decrease
Positive Pressure Ventilation ... generate larger VT ... exacerbation (cardiogenic pulmonary ... status • Won't Work ... PositivePressure #Ventilation
Volume Assist/Control Mechanical Ventilation How does this mode work? • Delivers a set volume of air with
does this mode work ... • Delivers a set ... • TV- Use 8cc/kg ... starting at 6cc/kg ... #criticalcare #pulmonary
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
bag moving OR ventilator ... o Circulatory embolus ... o Aspiration, pulmonary ... #Differential #Anesthesiology ... Diagnosis #Management #Workup
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 ... Embolism ↓ ↑ ... Index CARDIAC WORK ... LCWI 3.4-4.2 kg ... *RR Minute Ventilation
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
Rapidly confirm ventilator ... provide manual ventilation ... Anaphylaxis (→ 3-1) Embolism ... #Differential #Anesthesiology ... Diagnosis #Management #Workup
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
blood gas, 12-lead ECG ... o Circulatory embolism ... o Aspiration, pulmonary ... Hypoxia #Cyanosis #Anesthesiology ... #Management #Workup
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
bag moving OR ventilator ... obtain 12-lead ECG ... ); circulatory embolus ... #Tachycardia #Anesthesiology ... Diagnosis #Management #Workup
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