fig2

Figure 2. Proposed algorithm for the management of early hemorrhage after bariatric surgery. *defined as persistent systolic BP < 100 mmHg, cardiac index < 2.2 L/min/m², SvO2 < 60%, suspected pericardial effusion with tamponade physiology, base deficit > 8 mEq/L, or lactate > 5 mg/dL despite persistent inotropic, vasopressor, and/or volume resuscitation, and concern for or known right ventricular failure.