Medmastery-POCUS-essentials 340

POCUS: Abdominal aorta

Exploring the Point of Care Ultrasound Essentials course with a video demonstrating the examination to identify abdominal aortic aneurysm.
CCC Critical Care compendium 340

AAA Repair Patient Hot Case

GENERAL APPROACH Emergency or Elective End-organ damage Complications– brain injury– spinal cord ischaemia– ileus– MI– lower limb ischaemia– compartment syndromes– renal injury INTRODUCTION CUBICLE dialysis INFUSIONS vasoactives fluid boluses sedation analgesia transpyloric feeding: ileus, ischaemia TPN VENTILATOR mode level of…

CCC Critical Care compendium 340

Abdominal aortic aneurysm (AAA)

Abdominal Aortic Aneurysm (AAA) is a permanent localised or diffuse dilatation of the abdominal aorta to 1.5 times its normal diameter that involving all three layers of the vessel wall
CCC Critical Care compendium 340

Hypertension Post AAA Repair

OVERVIEW common potential life threatening -> myocardial ischaemia, anastomotic rupture, CVA requires urgent management and cause identification CAUSES equipment/measurement error: check arterial line trace, transducer, NIBP wound pain: analgesia full bladder: make sure catheter draining inadequate sedation: sedate incomplete neuromuscular…

CCC Critical Care compendium 340

Renal failure Post AAA Repair

OVERVIEW Numerous possible causes of Renal failure Post Abdominal aortic aneurysm repair CAUSES Pre-renal Hypovolaemia causing pre-renal failure Abdominal compartment syndrome Renal artery trauma Low output state (1) myocardial dysfunction from cross clamping, (2) perioperative ischaemia Post-operative bleeding Ischaemic rhabdomyolysis…

CCC Critical Care compendium 340

Permissive hypotension

Permissive hypotension is also known as hypotensive resuscitation and low volume resuscitation. The concept remains controversial and is primarily applicable to the penetrating trauma patient
Ultrasound cases top 100 340

Ultrasound Case 060

An 80 year old woman arrests in your department. She had presented an hour earlier with back pain. You start to prepare for a subcostal view of the heart and this is what you see.