ECMO Troubleshooting
ECMO Troubleshooting: Approach to problems specific to patients requiring ECMO therapy
Double Lumen Endotracheal Tube
A double lumen endotracheal tube (DLT) is an endotracheal tube designed to isolate the lungs from one another anatomically and/or physiologically
Porphyria
OVERVIEW Porphyria = group of disorders where patients have a inability to synthesis Hb resulting in an accumulation of precursors oxidised to porphyrins hepatic and erythropoietic varieties 3 hepatic forms that effect are affected by anaesthesia (1) AIP – acute…
Phlegmasia Cerulea Dolens
Massive venous thrombosis of deep and collateral venous system. Obstruction to outflow causes congestion that can compromise arterial flow
Pancytopaenia
Pancytopaenia
Oozing from a Venepuncture Site
An approach to the patient with persistent bleeding from a venepuncture site
Lupus Anticoagulants
OVERVIEW Lupus Anticoagulants -> result in acquired hypercoagulability due to poorly understood actions ? alteration of the regulation of haemostasis and endothelial cell injury ASSOCIATIONS MANAGEMENT (1) APTT (2) dilute Russell viper venom time (3) silica clotting time(4) kaolin clotting…
Isolated Elevated APTT
Isolated Elevated APTT
Thyroid Storm
Thyroid Storm: life threatening exacerbation of hyperthyroid state with 1 or more organ dysfunction
Pheochromocytoma
Pheochromocytoma: paraganglioma -> catecholamine producing tumours; associated with: MEN, von Hippel-Lindau syndrome, neurofibromatosis and familial paragangliomas
Myxoedema Coma
Myxoedema Coma: extreme form of hypothyroidism; high mortality
Haemolytic Uraemic Syndrome
Haemolytic uraemic syndrome (HUS) is a clinically similar condition to TTP; in HUS (unlike TTP): renal failure > neurological symptoms