- 19.2k views
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.
Watch Next
Cardiac arrest and its management in emergency
In recent years, significant advances have been made in the treatment of rheumatoid arthritis (RA), a chronic autoimmune disease that primarily affects the joints. These advancements have revolutionized the management of RA, providing new hope and improved outcomes for patients. Biologic drugs have emerged as a game-changer in RA treatment. These medications specifically target molecules and pathways involved in the immune response, such as tumor necrosis factor (TNF), interleukin-6 (IL-6), and Janus kinase (JAK) enzymes. Biologics have shown remarkable efficacy in reducing inflammation, slowing disease progression, and improving overall joint function. The concept of personalized medicine has gained prominence in RA treatment. Genetic testing and biomarker analysis help identify specific characteristics and disease mechanisms in individual patients. This information enables physicians to tailor treatment strategies, selecting the most appropriate medications and dosages for each person, leading to better outcomes. In cases where joint damage is severe and non-responsive to medical therapy, surgical interventions have also seen advancements. Joint replacement surgeries, such as total hip or knee replacements, have become increasingly sophisticated and durable, relieving pain and restoring mobility for individuals with advanced RA.
ARDS: Overview
Acute Respiratory Distress Syndrome (ARDS) is a life-threatening medical condition characterized by rapid-onset severe respiratory failure. It occurs when the lungs become severely inflamed, leading to fluid buildup in the air sacs, which impairs oxygen exchange. Common causes include infections, trauma, or inhaling harmful substances. Patients with ARDS often require mechanical ventilation in an intensive care setting to support their breathing and oxygenation. Early recognition and treatment are crucial for better outcomes.
Basics of ECG
Electrocardiography (ECG or EKG) is a non-invasive medical technique that captures the heart's electrical behavior by placing electrodes on the skin's surface, usually on the chest, arms, and legs. These electrodes detect the depolarization and repolarization of cardiac muscle, translating them into a visual representation on an electrocardiogram. The resulting waveform, consisting of P, QRS, and T waves, provides insights into the heart's health. Medical professionals use ECG to diagnose arrhythmias, ischemia (reduced blood supply), electrolyte imbalances, and other cardiac conditions. The ECG's data assists in treatment decisions, risk assessment, and monitoring the effectiveness of interventions, making it an indispensable tool in cardiology and emergency medicine. .
Usage of 2D Echo in Critical Care settings
2D echo, or two-dimensional echocardiography, is a valuable diagnostic tool used in critical care settings. It provides real-time images of the heart's structures and function, aiding in the assessment and management of critically ill patients. In critical care, 2D echo is used to evaluate cardiac function and detect abnormalities that may require immediate intervention. It allows for the visualization of the heart's chambers, valves, and blood flow patterns, providing crucial information for decision-making. 2D echo helps in the assessment of myocardial contractility, which is vital in monitoring and managing critically ill patients. It is useful in evaluating and diagnosing conditions such as myocardial infarction, cardiomyopathies, and pericardial diseases. In critical care settings, 2D echo aids in the detection of complications like cardiac tamponade or acute valvular dysfunction. It helps assess the impact of acute respiratory distress syndrome (ARDS) or sepsis on cardiac function. It assists in identifying the cause of shock, such as cardiogenic, hypovolemic, obstructive, or distributive shock. 2D echo can detect right ventricular dysfunction, which is a common feature in acute respiratory failure or pulmonary embolism. It helps guide fluid resuscitation by evaluating left ventricular filling pressures and assessing volume status.
Comprehensive Approach to Critical Aortic Stenosis
Critical aortic stenosis is a severe form of the disease that requires immediate intervention to prevent serious complications. We will also highlight the importance of a comprehensive approach to managing this condition. Before we dive into the details of critical aortic stenosis, let's briefly review the anatomy and function of the aortic valve. The aortic valve is located between the left ventricle and the aorta and plays a crucial role in maintaining blood flow from the heart to the rest of the body. This increased pressure can lead to a range of symptoms, including chest pain, shortness of breath, and dizziness. If left untreated, critical aortic stenosis can lead to heart failure, sudden cardiac death, or other serious complications. The most common cause of aortic stenosis is age-related degeneration, but other factors such as congenital abnormalities or rheumatic fever can also contribute to the development of the disease. The pathophysiology of aortic stenosis involves a gradual narrowing of the valve opening, leading to increased resistance to blood flow and pressure overload in the heart.
Author Post
Impact
+
Talks
+
webinar
+
no.of registrations
One liner about speaker
Why is speaker relevant?
Dr. Munish Chauhan 's Talks on Assimilate
- 20th-September-2023, TIME : 5:00PM - 6:00PM
- 0
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.