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 CAUSES MANAGEMENT Resuscitation A – assess for patency and positionB – give FiO2 1.0, check ABGC – check pulses and BP manually, check accuracy of arterial line measurementD – ensure patient adequately sedation and analgesia -> use propofol and…

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