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 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...
System Cardiovascular System Methods for Optimisation Use invasive haemodynamic monitoring: CVC should be inserted in right IJV or SCV Arterial line in Left radial or brachial artery due to order vessels are ligated Cardiac output monitoring to guide fluids and...
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...
