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management diagnosis shock ventilation differential checklist mechanical treatment acutepe anesthesia anesthesiology intraoperative modes noninvasive ac adenosine airway algorithm assistcontrol basics
#EKG taken on a patient with an acute pulmonary embolism with right heart strain showing tachycardia,
#EKG taken on a ... with an acute pulmonary ... embolism with right ... branch block, ST ... pulmonaryembolism #AcutePE #criticalcare
Shock Classification and Differential Diagnosis SHOCK • MAP <65, SBP <90, drop in SBP > 40 •
High CO / Low SVR ... Failure, Toxins/Medications ... , CVP > 12 • Pulmonary ... Embolism, Tension ... Diagnosis #Types #criticalcare
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Failure, Toxins/Medications ... • Obstructive: Pulmonary ... Embolism, Tension ... ) UOP > 0.5 cc/kg ... Differential #Diagnosis #criticalcare
Overview of Ventilator Modes VC - Volume Control (a.k.a. assist control volume) - Every breath delivered (mandatory
triggered ) is a set ... a set time PRVC ... ratio ventilation (e.g ... #Ventilation #CriticalCare ... #Comparison #Management
Pulmonary Embolism Treatment Systemic Thrombolysis - Exclude contraindications. - Indications: - Massive PE (definite indication)
Pulmonary Embolism ... - Indications ... Low dose 0.5 mg/kg ... #Embolism #Treatment ... AcutePE #Management #CriticalCare
Noninvasive Positive Pressure Ventilation (NIPPV) Expiratory & Inspiratory Positive Airway Pressure Both increase intrathoracic pressure, which can decrease
potentially improving SV ... generate larger VT ... exacerbation (cardiogenic pulmonary ... status • Won't Work ... #criticalcare #
Mechanical Ventilation: The Basics In the most basic sense, ventilator modes are defined by their control variable
Volume: 6-8 cc/kg ... pressure for a ... pressure for set ... Basics #Modes #Comparison ... #management #criticalcare
Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
endocarditis w/ septic pulmonary ... spleen, brain) Indications ... with multiple embolic ... block (+/- daily EKG ... Endocarditis #checklist #criticalcare
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 ... ventilation #AC #criticalcare ... #pulmonary
SPONT - Spontaneous Breathing = Pressure Support Ventilation Summary Basic Set Parameters: 1) Pressure Support (PS)
Parameters: 1) Pressure ... do some of the work ... means the patient ↑work ... > 8cc/kg at 6/6 ... #Ventilation #pulmonary
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