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diagnosis criticalcare differential causes acidosis lactic overview sirs types aliem anesthesia anesthesiology checklist cold criteria dry earlygoaldirectedtherapy egdt elevation falls
SEPSIS AND SEPTIC SHOCK DEFINITION AND PATHOPHYSIOLOGY • Sepsis: Life-threatening organ dysfunction due to a dysregulated host
• Septic shock ... with Shock: Sepsis ... INITIAL MANAGEMENT ... ADVANCED MANAGEMENT ... #Septic #Shock
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
• Organ dysfunction ... Septic Shock • ... o Lactate >2 mmol ... /L Management ... #sirs #shock #lactate
Decision tree of FALLS-protocol (Fluid Administration Limited by Lung Sonography). Lung Ultrasound in the hemodynamic assessment
tree of FALLS-protocol ... assessment of Shock ... According to Weil classification ... , i.e. septic shock ... #algorithm #Lung
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
30ml.kg-1 or blood lactate ... shock (sepsis with ... end organ dysfunction ... Discuss ongoing management ... Checklist #Diagnosis #Management
Sepsis - Diagnosis and Management Life-threatening organ dysfunction caused by a dysregulated host response to infection SEPTIC SHOCK
and Management ... Life-threatening organ dysfunction ... SHOCK is a subset ... shock are identified ... Serum lactate >2
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
malperfusion - Lactate ... Distributive: Sepsis ... MAP > 60-65 2) Lactate ... #criticalcare #algorithm ... #treatment #management
Lactic Acidosis - Differential Diagnosis Framework Type A: Impaired O2 Delivery (DO2) • Decreased O2 Delivery: Hypotension
Cardiogenic & Septic ... Shock, Severe Anemia ... Microcirculatory dysfunction ... Drugs/Toxins: - Propofol ... Malaria, Late Sepsis
Paucis Verbis card: Early goal directed therapy April 16th, 2010 | ALiEM Cards, Infectious Disease By: Michelle
landmark studies in sepsis ... and septic shock ... #Management #SepsisBundle ... #EGDT #Rivers #Protocol ... #Algorithm #ALiEM
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
undifferentiated shock ... /hypoxemia/Sepsis ... syndrome - Sepsis ... - Cyanide - Propofol ... #typea #typeb #classification
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
death -> end-organ dysfunction ... Inflammatory: infectious (sepsis ... #Classification ... #diagnosis #management ... differential #causes #classification
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