CONTENTS general postoperative management Postoperative management – getting started Postoperative chest radiograph Specific considerations after: SAVR TAVR MVR hemodynamic pertubations Rough hemodynamic targets Cardiovascular deterioration (including low CO syndrome) Causes Evaluation Hemodynamic optimization Vasoplegic syndrome Tamponade Hypertension arrhythmias Postoperative AF & Flutter: Prevention Management Monomorphic VT Bradyarrhythmias AEG (atrial electrography) Epicardial pacing other cardiovascular problems […]

CONTENTS Rapid Reference: Approach to RV failure 🚀 Diagnosis of RV failure Defining RV failure Clinical manifestations of RV failure Congestive nephropathy Congestive encephalopathy Congestive hepatopathy Laboratory findings Radiological findings Chest radiograph CT scan ECG Echocardiography POCUS evaluation of venous congestion IVC Femoral vein doppler Portal vein pulsatility Causes of right ventricular failure [1] Elevated […]

CONTENTS Epidemiology Symptoms Physical examination (including POCUS) Laboratory studies ECG Chest radiograph Clinical approach to the diagnosis [1] When to consider dissection [2] Dissection risk score [3] Further evaluation for score of 0-1 Radiologic approach Treatment Anti-impulse therapy The hypotensive dissection patient Surgery Prognosis Related topics Non-acute aortic dissection Intramuscular hematoma & penetrating aortic ulcer […]

CONTENTS basic management issues Circuit parameters Pump speed (RPMs) Flow (v) Pven (venous drainage pressure) Pint (internal pressure) Part (arterial, post-membrane pressure) ▵P (transmembrane) Sweep gas flow rate FdO2 SarO2 & ParO2 (arterial return sat & pO2) SvdO2 (venous drainage O2%) Low circuit flow & circuit flow arrest Pump failure Membrane lung dysfunction Air embolism […]

CONTENTS Rapid Reference 🚀 Pathophysiology Epidemiology Clinical presentation Diagnosis & differential diagnosis Evaluation of the underlying cause Treatment overview Procedures & vascular access Volume management Bradycardia management Hyperkalemia management Advanced reversal agents for CCB/BBl Podcast Questions & discussion Pitfalls if hypovolemic, provide volume resuscitation: Bicarb <22 mM  use isotonic bicarbonate.  Bicarb >22 mM  use lactated Ringers or […]

CONTENTS Rapid Reference 🚀 Definition & clinical consequences Evaluation Causes of hypothermia Initial investigations Management Rewarming Rewarming pulseless patient Rewarming patient with pulse General resuscitative measures Fluids & electrolytes Rhabdomyolysis & DIC Underlying problems: sepsis, hypothyroidism, adrenal insufficiency Podcast Questions & discussion Pitfalls Approach to hypothermia ✅ lab panel 📖 Fingerstick glucose (STAT). Basic labs […]

CONTENTS Approach to shock Introduction Diagnosis Causes of shock Evaluating the cause of shock Stabilization Refractory shock Approach to refractory shock Vasopressors Rapid Pressor Reference 🚀 Considerations when selecting a vasopressor Core agents: Dobutamine & milrinone: Selecting dobutamine and/or milrinone Milrinone dosing Dobutamine dosing Isoproterenol Vasopressin Phenylephrine Norepinephrine Epinephrine Adjunctive agents: Methylene blue (MB) Hydroxocobalamin […]

CONTENTS Rapid Reference 🚀 Getting started Evaluating anion gap & ketoacidosis Definition & severity of DKA Evaluating the cause of DKA Core components of DKA resuscitation Fluid administration Electrolyte management Insulin infusion Long-acting, basal insulin Management of severe or refractory ketoacidosis pH management Monitoring & management of DKA recurrence Special situations DKA in a hemodialysis […]

CONTENTS Diffuse Alveolar Hemorrhage (DAH) Clinical presentation Radiology Bronchoscopy Causes Evaluation Management ANCA-associated vasculitides Overview of ANCA-associated vasculitides in the ICU Laboratory findings in GPA and MPA Clinical features of granulomatosis with polyangiitis (GPA) Radiology Tracheobronchial involvement Treatment pathway for GPA or MPA Other causes of diffuse alveolar hemorrhage: Anti-GBM disease Idiopathic pulmonary hemosiderosis Mixed […]