Classification of PE severity has traditionally been based on haemodynamic stability: Massive Sub-Massive Mild / Non-Massive Cardiovascular compromise with a systolic blood pressure (SBP) <90 mmHg or a drop in systolic pressure of >40 mmHg No systemic...
System Endocrine & Metabolic System Methods for Optimisation Correct electrolyte abnormalities:Hypernatremia (associated with poor liver graft function)HypokalemiaManage Diabetes Insipidus:Maintain Na+ <155 mmol/L with 5% dextroseMaintain urine output about 1 -...
System Respiratory System Methods for Optimisation Lung recruitment maneuvers and PEEP following apnoea test Continue VAP prevention measures:30-45 degrees head up tiltTight endotracheal cuffPatient positioning as per unit protocolReview ventilation, ensure lung...
Coagulation Hemostatic disorders due to:Release of tissue thromboplastin by ischaemic or necrotic brainCatecholamine induced platelet dysfunction can occurDisseminated intravascular coagulation...
Endocrine & Metabolic System Failure of hypothalamic-pituitary axis due to ischaemia with:Impairment of temperature regulationADH depletion:Diabetes insipidus (DI) which occurs in up to 65% of organ donorsCharacterised by diuresis, hypovolaemia, plasma...