Loco regional anaesthesia foreign body

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Loco-regional anaesthesia Foreign body detection/extraction Drainages ... OTHERS SERIAL Examinations & MONITORING Assess anatomy , vital functions, lesions, failures, and causes -Address electric, respiratory, fluid/drug, interventional, and operative resuscitation Provide pre/intra/post- interventional/operative guiddance - Evaluate and monitor treatment efficacy - Detect and treat complications - Re-assess Liver,spleen, kidney diaphragmatic lesions Pneumoperitoneum Retroperitoneal hematomas/fluid lleum, Intest, ischemia Scrotal lesions Fetal assessment +/– “LEVEL 2 & 3” US evaluation Defibrillation (recovery, PEA vs pseudo-PEA) Pacing (mechanical capture, intravenous guidance) 3. HEAD - to - TOE SECONDARY ASSESSMENT 5. CONTINUING FOLLOW UP 4. TRANSPORT / INTENSIVE / DEFINITIVE CARE & coma/focal signs causes DISABILITY : Neurologic status CIRCULATION : Hemodynamics & shock /hypotension causes BREATHING : Respiratory performance & dyspnea/hypoxemia causes AIRWAY : Airway patency & obstructive causes EXPOSURE : Exclude missed findings Needle thorachocentesis Chest tube intertion Thoracotomy Pericardio- centesis Thoracotomy Diagnostic paracentesis DPL/Min-laparotomy Laparotomy Other emergency surgical procedures (pre/intra/post-operative US-enhancement) Central & peripheral vascular puncture, venous cutdown, intraosseous puncture (confirmation)* Nasogastric tube insertion, Urinary catheterization/Cystocentesis, Pre-/intra-/post-operative application... Respiratory management (oxygenation, ventilation, perfusion...),Fluid therapy management (input, output...), Drug therapy management (inotropes, thrombolytics, diuretics, antidots .... ) Figure 14.10 The WINFOCUS ultrasound life support algorithm. In step 1, a clinically driven ultrasound assessment is performed (ABCDE, top row ). Next, step 2 describes possible interventions, which can be guided by the results of the sonography. Available at uscmc/usls . 264 Diagnostic ultrasound Ultrasound in shock
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Literature review Protocol and reference Methods Notes UHP protocol Rose et al. 2001 [ 9 ] Undifferentiated hypotensive patient: Morison’s pouch, heart, aorta. Case examples and protocol description. Trinity protocol Bahner 2002 [ 10 ] Cardiac, aorta, and FAST. Case example and protocol description. FATE Jensen et al. 2004 [ 11 ] Focused assessed transthoracic echocardiography: heart, pleural effusion. Protocol description, feasibility study and case series. Adequate images in 97% of 210 ICU patients. RCT of US in hypotension Jones et al. 2004 [ 12 ] FAST, heart, aorta, IVC: undifferentiated hypotension patients randomized to immediate vs. delayed (15 min) US assessment. Early US yielded more focused differential diagnosis and more accurate physician impression of final diagnosis. FEER Breitkreutz et al. 2007 [ 13 ] Focused echocardiographic evaluation in resuscitation: heart.
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