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Hemodynamic Instability: Management
Haemodynamic instability refers to a state where a person's circulatory system is unable to maintain adequate blood flow and perfusion to vital organs, often resulting in a critical medical condition. This instability can manifest as low blood pressure, rapid heart rate, altered mental status, and organ dysfunction. Causes can range from severe infections, bleeding, heart failure, or traumatic injuries. Prompt evaluation, diagnosis, and intervention are crucial to address the underlying cause, stabilize the patient's haemodynamics, and prevent further deterioration, often involving interventions like fluid resuscitation, medications, or surgical procedures.
About the Speaker
Dr. Munish Chauhan
Medical officer, Dept of Emergency, Civil Hospital District Shimla, Dept of Health and family welfare, Himachal Pradesh
Dr. Munish Chauhan is currently working as Senior Consultant in Critical care Medicine at Fortis Memorial Institute , Gurgaon. He worked as FACULTY AND CO- DIRECTOR : ELSO Certified Comprehensive Adult ECMO Specialist Simulator Course. He has his expertise in ECMO, Critical Care Ultrasound, Simulator based Trainings. He has several Research Publications (national and international) and author of several chapters in textbooks of Critical care medicine.
Upcoming Case Discussions
Alpha Lipoic Acid in Oxidative Stress
Alpha-lipoic acid (ALA) is a potent antioxidant that helps combat oxidative stress by neutralizing free radicals. It regenerates other antioxidants like vitamin C and E, enhancing overall antioxidant defense. ALA plays a crucial role in reducing cellular damage caused by conditions like diabetes, neuropathy, and aging. Its ability to function in both water- and fat-soluble environments makes it versatile in protecting various tissues. Regular supplementation of ALA may improve mitochondrial function and reduce inflammation associated with oxidative stress.
Alternative Route to Chronic Pain Management
Same, Same but Different" patterns in pain refer to situations where patients report similar symptoms or sensations but have distinct underlying causes or mechanisms. This concept emphasizes the importance of thorough clinical evaluation, as seemingly identical pain experiences may require different diagnostic approaches and treatments.
Advances in Diagnosing and Treating Neural Tube Defects
Significant advances in diagnosing and treating neural tube defects (NTDs) have improved outcomes for affected individuals. Early diagnosis is enhanced by advanced prenatal imaging, such as high-resolution ultrasound and fetal MRI, and biomarkers like elevated maternal serum alpha-fetoprotein (MSAFP). Innovations in fetal surgery, such as in-utero repair of spina bifida, have demonstrated improved neurological outcomes by minimizing damage before birth. Postnatal care has also improved with better surgical techniques, physical therapy, and assistive technologies. Preventive strategies, including mandatory folic acid supplementation, have significantly reduced NTD incidence globally, highlighting the importance of early intervention and multidisciplinary care in managing NTDs.
Case Based Discussion on Bronchiolitis
Bronchiolitis is a common respiratory infection in infants and young children, primarily caused by the respiratory syncytial virus (RSV). It presents with nasal congestion, cough, wheezing, and difficulty breathing, often following an upper respiratory infection. Management is largely supportive, focusing on hydration, oxygen therapy, and suctioning nasal secretions. Routine use of bronchodilators, steroids, or antibiotics is not recommended. Severe cases may require hospitalization for respiratory support, such as high-flow nasal cannula or mechanical ventilation. Preventive measures include proper hand hygiene and, in high-risk infants, palivizumab prophylaxis. Prompt recognition and appropriate care are key to reducing complications and improving outcomes.
Case Based Approach to Arthritis
A case-based approach to arthritis involves analyzing individual patient cases to tailor diagnostic and therapeutic strategies based on specific symptoms, disease progression, and underlying causes. This method enhances clinical decision-making by providing personalized treatment plans and improving patient outcomes in conditions like osteoarthritis, rheumatoid arthritis, and psoriatic arthritis.