11 results
Intraoperative Bleeding from Myocardial Free Wall Rupture secondary to extensive Myocardial Infarction

- Dr. Joaquin Gundelach @JoacoGundelach

#Bleeding
#thoracic #surgery ... #CTS #rupture #cardiac ... #heart #clinical ... #video #intraoperative ... #Free #Wall
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
stairs, brisk 4 mph walk ... exam Determine Cardiac ... Change in clinical ... - what is the bleeding ... medical and surgical management
Kussmaul's Sign on Neck Physical Examination

Elderly woman with a history of myocardial revascularization surgery is hospitalized
hospitalized for heart ... increase (or lack of fall ... patients after cardiac ... #PhysicalExam #Video ... #Clinical #JVP
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
delivery • Pause surgery ... position of airway device ... airway AND airway device ... causes in Box E and call ... Checklist #Diagnosis #Management
Intraoperative Cardiac Free Wall Rupture
Free wall rupture...yes we can save them
Following a syncope event, a 72-y
accumulating, the heart ... the tear seen in Video ... Once no bleeding ... cardiothoracic #surgery ... #clinical #video
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
and timing with Cardio-OB ... Period • Breast-feeding ... Many patients will ... support for patients clinically ... follow-up with Cardio-OB
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia
Using these steps from start
delivery • Pause surgery ... not resolving call ... ) → 3-12 o Cardiac ... oedema, congenital heart ... Diagnosis #Workup #Management
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Decompensated Heart ... ADHF typically fall ... hemodynamics and cardiac ... Cardiac cath if ... differential #algorithm #management
Guillain-Barré Syndrome (GBS)
Acute autoimmune demyelinating polyradiculoneuropathy that presents with rapidly progressive flaccid weakness
Epidemiology:
 • Incidence: 1
Meningococcal), surgery ... transplantation CLINICAL ... MANIFESTATIONS: • The cardinal ... must decide when ... Syndrome #diagnosis #management
Resuscitative Thoracotomy
NOTE: this video is NOT standard technique.
Aka "cracking the chest". A potentially life saving technique
Thoracotomy NOTE: this video ... 10% depending on clinical ... intrathoracic bleeding ... This post is not all ... #video #trauma