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: 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 is diastolic reflux of blood from aorta to LV due to malposition of the aortic cusps.
Contractility = the change in force generated independent of preload. Inotropy and contractility are essential synonymous — inotropes are agents that increase contractility.
Arguments for and against Compression Only CPR
Blood Culture Bottles: tubes for sampling blood for microbiological cultures; detection of circulating microorganisms in bacteraemia and septicaemia
Basic summary of Circulation Assessment
Cement implantation syndrome: embolism of fat, bone, marrow, clot, blood and methylmethacrylate; potentially leading to cardiovascular collapse
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: summary of cardiac muscle, electrical properties, haemodynamics and blood supply
Cardiovascular Performance Assessment: Summary of cardiovascular performance assessment, primarily in the peri-operative setting
Cardiogenic Shock Literature: early revascularisation and the
intra-aortic balloon pump IABP