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diagnosis cardiology management clinical differential endocarditis preoperative risk stratification table algorithm balloon bleeding cardiac cardiothoracic chf delivery devices evaluation foamed
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
indicated • EKG ... Obtain EKG if: ... risk (>5%): - Aortic ... Severe Aortic stenosis ... coronary revascularization
Intra-Aortic Balloon Pump (IABP) Intra-aortic balloon counter-pulsation is a method of invasive hemodynamic support. A catheter is
Intra-Aortic Balloon ... diastole → increases coronary ... IABP improves coronary ... • Triggers (EKG ... management #cardiology #criticalcare
Bleeding Risk for Various Invasive/Surgical Procedures Low Risk: • Dental extractions (1 or 2 teeth), endodontic (root
without biopsies • Coronary ... (e.g. ... (e.g. aortic aneurysm ... Bleeding #Risk #Preoperative ... #Perioperative
Mask Oxygen Delivery Devices Simple Mask aka Hudson's Mask: • Flow 6-10 LPM • FiO2 35-50% Face Tent:
tight-fitting mask (e.g ... trauma, recent surgery ... the exhalation ports ... management #pulmonary #criticalcare
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
CA • Involves aortic ... nodes • Roth’s spots ... ↑ ESR, CRP • EKG ... Antibiotics • Surgery ... Viridans Surgery
Laparoscopic Instruments - Common Surgical Instruments Many instruments are similar to those used in open surgery, adapted
those used in open surgery ... through narrow ports ... Source: Fiber optic ... multiple sizes, e.g ... #Laparoscopy #surgery
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
to be in ADHF starts ... ECG is vital while ... cath if acute coronary ... heartfailure #chf #criticalcare
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
Ovarian CA, involves aortic ... nodes • Roth’s spots ... ↑ ESR, CRP • EKG ... antibiotics • Surgery ... Viridans Surgery
Intraoperative Cardiac Free Wall Rupture Free wall rupture...yes we can save them Following a syncope event, a 72-y
cardiac diseases, ECG ... ANGIO ruled out aortic ... at Circumflex territory ... cardiothoracic #surgery
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