General Goals Map > 65 SVI > 35 CI > 2.5 Hypoperfusion Signs/Symptoms Hypotension Low/Decreasing SVI Metabolic Acidosis (base deficit or low HCO3) Increasing PPV Olig...

Diagnosis From symptoms alone in many cases: Unilateral foregin body sensation Lacrimation Photophobia Redness Scratchy eye feeling Treatment Consider sterile flush for foreign b...

Subcutaneous vs IV If emergency surgery use IV insulin drip If elective surgery AND: Case is < 4 hours Patient is not critically ill Patient does not have poor gluco...

Cephalosporin Cross Reactivity

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Stanford School of Medicine Antibiotic Guide ANTIBACTERIALS BETA-LACTAMS = PCNs, Cephalosporins, Carbapenems, Monobactam(Aztreonam) Cell wall inhibitors: bind PBPs (Penicillin-binding protein...

Intractable bleeding can occur in complex aortic surgeries such as redo aortic surgeries, aortic dissection repair, endocarditis with root abscess and aortic arch repairs. The cause of such bleedin...