Open Chest Management and Delayed Sternal Closure
Open Chest Management (OCM) and Delayed Sternal Closure (DSC) is used following 1-4% of surgical procedures involving cardiotomy in adults, and more commonly in paediatrics
Category Cardiology
AHA/ACC Guidelines (2007)
AHA/ACC Guidelines (2007) – Perioperative Cardiovascular Evaluation of the Patient undergoing Non-cardiac Surgery Take Home Message = if assessment and evaluation not indicated irrespective of perioperative context then just crack on (its all about symptoms). 3 factors involved in risk…
Emergent Valve Disorders
Emergent Valve Disorders: regurgitation most common; acute or acute on chronic valve dysfunction; acute on chronic often precipitated by increase in metabolic or haemodynamic requirements (sepsis, bleeding, pregnancy).
Aortic Regurgitation
Aortic regurgitation is diastolic reflux of blood from aorta to LV due to malposition of the aortic cusps.
Contractility
Contractility = the change in force generated independent of preload. Inotropy and contractility are essential synonymous — inotropes are agents that increase contractility.
Compression Only CPR
Arguments for and against Compression Only CPR
Circulation Assessment
Basic summary of Circulation Assessment
Cement implantation syndrome
Cement implantation syndrome: embolism of fat, bone, marrow, clot, blood and methylmethacrylate; potentially leading to cardiovascular collapse
Cardioversion in ICU
Cardioversion in ICU: cardioversion is the delivery of electrical energy that is synchronised with the QRS complex in an attempt to revert an abnormal rhythm
Cardiovascular Physiology Overview
Cardiovascular Physiology Overview: summary of cardiac muscle, electrical properties, haemodynamics and blood supply
Cardiovascular Performance Assessment
Cardiovascular Performance Assessment: Summary of cardiovascular performance assessment, primarily in the peri-operative setting
Cardiogenic Shock Literature Summaries
Cardiogenic Shock Literature: early revascularisation and the
intra-aortic balloon pump IABP