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management anesthesia anesthesiology checklist clinical intraoperative workup echocardiogram product reactions airgap anaphylaxis bearpaw cabg cardiology challenges comparison criticalcare fluid graft
Air gap sign: loss of cardiac image during systole in Pneumopericardium Interesting observation –loss of cardiac window
Air gap sign: loss ... Frequently see this after ... echocardiogram #a4c ... #plax #pocus #airgap ... #sign
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 Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... accumulation of blood ... examination and vital signs ... tamponade recurs. ❿ Plan ... specialist referral. ⓫ Plan
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
hypotension persisting after ... record hourly urine ... Consider monitoring cardiac ... ongoing management plan ... Intraoperative #Checklist #Diagnosis
Bear Paw Sign of Xanthogranulomatous Pyelonephritis on POCUS Adult female with right flank pain, fever, leukocytosis, soft
Pyelonephritis on POCUS ... Diagnosis/differential ... Underwent nephrectomy after ... #POCUS #clinical ... #ultrasound #renal
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 Blood Transfusion Reactions Immune Mediated: • Febrile Non-Hemolytic Transfusion Reaction (FNHTR): Most common immune reaction to transfusion.
flank pain, dark urine ... • Transfusion Cardiac ... RBCs (stored at 4C ... #Transfusion #diagnosis ... #management #hematology
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
of more of the signs ... ❻ If systolic blood ... -10 ml clotted blood ... • Plan for repeat ... Intraoperative #Checklist #Diagnosis
Blood Product Transfusions One Pager Summary Type and screen - determines blood type and detects in recipient
flank pain, dark urine ... - Transfusion Cardiac ... RBCs (stored at 4C ... #Transfusions #diagnosis ... #management #hematology
Hepatopulmonary Syndrome - Diagnosis and Management Summary A defect in arterial oxygenation due to a gas exchange
Hepatopulmonary Syndrome - Diagnosis ... left heart 3-6 cardiac ... passage • Arterial blood ... gas (ABC) analysis ... management #treatment #hepatology
Fluid Responsiveness and Fluid Tolerance Testing - OnePager Summary Fluid resuscitation can be beneficial when required or
Pulmonary Artery ... Point of Care Ultrasound ... compared before/after ... precede other signs ... Tolerance #testing #diagnosis
CABG Graft Pseudoaneurysm Chest pain post CABG - always worth taking a look! Large graft pseudoaneurysm!!
encounter challenging cardiac ... chest showed the diagnosis ... anticoags - VCU Ultrasound ... Pseudoaneurysm #clinical #pocus ... echocardiogram #s4c
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