Cardiac Surgery Flashcards
2 major complications of CABG?
Tamponade
Pericarditis
What is the purpose of the mediastinal chest tubes?
Remove bloody fluid from operative site.
What is the purpose of pleural chest tubes?
Remove air, blood or serous fluid from the pleural space.
Post valve repair , why it is important to watch for hypotension?
Patients with valve stenosis or chronic regurg have had elevated end-diastolic volumes. Sudden preload normalization May result in hypotension.
Why do some valve repair patients require temporary pacers?
Mitral, tricuspid and aortic valves are anatomically close to conduction pathways.
Describe pulsus paradoxus?
An excessive drop in SBP (>12mmhg) during inspiration.
Can indicate cardiac tamponade.