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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anesthesiology checklist intraoperative management differential criticalcare pacatheter pressures airway artery calculations cardiacarrest cardiology catheter catheterization chambers chf classification comparison cyanosis
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
Shock - Differential ... Diagnosis Framework ... heart failure, acute ... Sepsis. neurogenic, anaphylaxis ... #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 ... (eg, acute valvular ... #Differential #Table ... Chambers #Wedge #PCWP
Shock - Differential Diagnosis by Classification Hypovolemic (Intravascular volume depletion) - Hemorrhagic • Trauma
- Septic - Anaphylaxis ... Cardiogenic (Decreased ... contractility) - Acute ... flow) - Massive pulmonary ... Classification #Table
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO •
Artery Pressures ... RV dysfunction. e.g ... • Increases in ... forward flow. e.g ... artery #catheter #diagnosis
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
blood gas, 12-lead ECG ... Bronchospasm → 3-4 o Anaphylaxis ... o Aspiration, pulmonary ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
hypotensive first increase ... amniotic (→ 3-5); anaphylaxis ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
• Increase fresh ... and positioning (e.g ... ischaemia → 3-12 o Anaphylaxis ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
systolic blood pressure ... arrest, start CPR ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Intraoperative Laryngospasm and Stridor - Guidelines for Crises in Anaesthesia ❶ Call for help and inform theatre
guideline 2-3 Increased ... pulmonary oedema ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
cause) or septic shock ... of problem. ❷ Increase ... mean arterial pressure ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
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