Cardiopulmonary Bypass
Cardiopulmonary bypass (CPB) replaces the function of the heart and lungs while the heart is arrested to provide a bloodless, stable surgical field
Cardiopulmonary bypass (CPB) replaces the function of the heart and lungs while the heart is arrested to provide a bloodless, stable surgical field
Cardiac arrest occurs after 0.7 - 2.9% of cardiac surgery cases. Usually preceded by physiological deterioration but can occur in previously stable patients
Pulseless electrical activity (PEA) occurs when organised or semi-organised electrical activity of the heart persists but the product of systemic vascular resistance and the increase in systemic arterial flow generated by the ejection of the left ventricular stroke volume is not sufficient to produce a clinically detectable pulse
Causes of Acute Pulmonary Hypertension
Superior vena cava (SVC) obstruction impairs venous return through the SVC to the right atrium and has many causes, usually mediastinal masses or complications of SVC lines
Coarctation of Aorta: congenital condition characterised by narrowing of the aorta near the site where the ductus arteriosus (ligamentum arteriosum after regression) inserts.
Tetralogy of Fallot: Large VSD; RV outflow tract obstruction; RV hypertrophy; and Overriding aorta
Alteplase is a tissue plasminogen activator used as a thrombolytic medication in: Acute Ischaemic Strokes, Acute Myocardial Infarction and PE
Intracardiac Masses Echocardiography
Intra-Aortic Balloon Pump (IABP) or intra-aortic counterpulsation device the balloon is inflated during diastole to increase coronary perfusion and then deflated during systole to decrease afterload
Catecholamine excess, or 'sympathetic overload', may be harmful in critically ill patients, including those with septic shock. Catacholamine excess is associated with specific conditions such as Takotsubo cardiomyopathy
Tenecteplase is a tissue plasminogen activator used as a thrombolytic medication in: Acute Ischaemic Strokes, Acute Myocardial Infarction, PE