INTRODUCTION: The importance of functional right ventricular failure and resultant splanchnic venous congestion has long been under-appreciated and is difficult to assess by traditional physical examination and standard diagnostic imaging. … Continue reading CLINICAL APPLICATIONS OF THE VENOUS EXCESS ULTRASOUND (VEXUS) SCORE
Tag: medicine
ANAESTHESIA FOR CAROTID ENDARTERECTOMY
INTRODUCTION: Carotid endarterectomy (CEA) is a prophylactic operation. It is performed in patients who are at risk of stroke from emboli arising from atheromatous plaque at the carotid bifurcation. The … Continue reading ANAESTHESIA FOR CAROTID ENDARTERECTOMY
PREGNANCY AND MITRAL STENOSIS
1. Why does pregnancy aggravate the symptoms of mitral stenosis? Women with severe mitral stenosis often do not tolerate the cardiovascular demands of pregnancy because 1. Increase in blood volume … Continue reading PREGNANCY AND MITRAL STENOSIS
ANAESTHESIA FOR CAESAREAN SECTION IN PATIENTS WITH CARDIAC DISEASE – PART 6
ANESTHESIA FOR CESAREAN DELIVERY FOR CARDIAC PATIENTS: • Patients with mWHO class I or II cardiac disease typically tolerate a traditional intrathecal dose of local anesthesia (eg, hyperbaric bupivacaine 10–15 … Continue reading ANAESTHESIA FOR CAESAREAN SECTION IN PATIENTS WITH CARDIAC DISEASE – PART 6
ANAESTHESIA FOR CAESAREAN SECTION IN PATIENTS WITH CARDIAC DISEASE – PART 3
iii) AORTIC STENOSIS: Anaesthetic management in AS is to avoid tachycardia, and bradycardia, maintain intravascular volume and venous return, avoid aortocaval compression, and myocardial depression, maintain a normal heart rate … Continue reading ANAESTHESIA FOR CAESAREAN SECTION IN PATIENTS WITH CARDIAC DISEASE – PART 3
ANAESTHESIA FOR CAESAREAN SECTION IN PATIENTS WITH CARDIAC DISEASE – PART 2
2. VALVULAR HEART DISEASE i) MITRAL STENOSIS: Anaesthetic considerations are to maintain a slow heart rate, venous return and SVR, avoid aorto-caval compression, treat atrial fibrillation (AF) aggressively, try and … Continue reading ANAESTHESIA FOR CAESAREAN SECTION IN PATIENTS WITH CARDIAC DISEASE – PART 2
INTRA OPERATIVE MYOCARDIAL INFARCTION MANAGEMENT
1. Immediately communicate to the surgery team and the operating room (OR) staff that the patient’s status may be compromised. 2. Ensure adequate oxygenation; increase the fraction of inspired oxygen … Continue reading INTRA OPERATIVE MYOCARDIAL INFARCTION MANAGEMENT
Ten tips to optimize vasopressors use in the critically ill patient with hypotension
Hypotension, defined as low arterial blood pressure with proven of suspected organ hypoperfusion, often requires a differentiated catecholamine therapy, including vasopressors and inotropes. Mean arterial blood pressure (MAP) represents the … Continue reading Ten tips to optimize vasopressors use in the critically ill patient with hypotension