Hypotension in Anesthesiology - Differential Diagnosis and Management
Initial checklist:
- Verify BP (e.g. surgeon leaning on cuff?)
- Check other vital signs (heart rate, CO2, oxygenation)
- Inform surgeon (ask about blood loss / venous compression)
Initial treatment:
- iv wide open (crystalloids)
- Decrease or stop anaesthetic
- Increase FiO2
- Administer inotropes / vasopressors? (ephedrine / phenylephrine / epinephrine / vasopressin)
- Consider:
Head down position,
More / larger iv access,
Give colloids / blood ?
Mark Harris, MD MPH @ https://twitter.com/MarkHarrisMD
#Hypotension #Hypotensive #Anesthesiology #Differential #Diagnosis #Management
