Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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management anesthesiology checklist differential intraoperative criticalcare comparison airway cardiac cardiacarrest causes chambers classification cyanosis hyperthermia hypotension hypoxia increased inopressors normalvalues
Shock and Vasoactive Drugs 1) Determine type and etiology of shock • Distributive: Sepsis, Anaphylaxis, Neurogenic
Distributive: Sepsis, Anaphylaxis ... MI, Acute Heart ... Pericardial tamponade, Pulmonary ... #inopressors #diagnosis ... management #comparison #table
Shock - Differential Diagnosis by Classification Hypovolemic (Intravascular volume depletion) - Hemorrhagic • Trauma
Diagnosis by Classification ... - Septic - Anaphylaxis ... contractility) - Acute ... flow) - Massive pulmonary ... Classification #Table
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Allergic reaction / anaphylaxis ... (→ 3-1) Drug induced ... Anesthesiology #Anesthesia ... #Checklist #Diagnosis ... #Management #Workup
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... telemetry, 12-Lead EKG ... and Survey 4) Workup ... Tamponade - Pulmonary ... >> Acute PE, Tension
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
arrest, start CPR ... immediately. ❼ Give drugs ... annotate notes/drug ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
Shock - Differential ... heart failure, acute ... Sepsis. neurogenic, anaphylaxis ... adrenal crisis, drugs ... #table #comparison
Pulmonary Arterial Catheterization – Use and Interpretation: -Pulmonary arterial catheterization (PAC) has never been shown to improve
However, when the diagnosis ... or the type of shock ... severe cardiogenic shock ... (eg, acute valvular ... #Differential #Table
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
anticholinergic drug ... ischaemia → 3-12 o Anaphylaxis ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
• Consider drug ... amniotic (→ 3-5); anaphylaxis ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
reminders about drugs ... : Vagal tone Drug ... 10) Acidosis Anaphylaxis ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
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