Week with RT Flashcards
LG
Bed 1 Lynda Gnibekan
LG issues
Cardiogenic shock
Bed 1 Lynda Gnibekan
bioprotehtetic MVR for severe MS
V-A ECMO retrival from Noumea with right heart failure secondary to failing tissueMVR
Also severe pulmonary htn and RV hypertrophy impairment
#MVR
-previous due to rheumatic mitral valve disease in2017 or 18 by bannon, complicated by GN endocarditis, mediastinis and osteomyelitis
#PHTN
-on iloprost and macitentan
#VV-A ECMO
#GNR
-meroepenm for klebsiella and morganella blood cultures
#Anuric renal failure
#bilirubineaia
#Headlice
BG also has ppm
TO
bed 3 Timothy O’Connor 67M
TO full issues
bed 3 Timothy O’Connor 67M
redo sternotomy and bioprosthetic AVR
sig lvh
normal LV function
FF
Bed 5 Francesco Finucci
FF full
Bed 5 Francesco Finucci
AVR and cabg x1, LIMA to LAD
LV normal
AS
Bed 6 Andrew Stevenson
AS full
Bed 6 Andrew Stevenson
septal myectomy
lv 65%
SW
Bed 7 Si Wang
SW full
Bed 7 Si Wang
redo sternotomy and mechanical MVR
10/8 presented to crhg with osb, found to have deterioation of prosthetic mitral valve
toe left atrial thrombus
iv heparin
tf to rpa on 28/8
lv nad
rv mod-severe impairment
SQ
bed 8 Scott Quested
SQ full
Streptococcus parasanguinis native MV IE with severe MR
bed 8 Scott Quested
bioprosthetic MVR on 29/8
converted to VAV ecmo intra-op
toe post op rv decompressed, lv 10% no thrombus
bleeding post op requiring chest re-opening in icu day 1
#anuric renal failure
#ischemic hepaitis
#heparmooragic knee effusion
#coffee ground apisrate
on benpen
LL
Bed 9 Lesley Lake
LL full
Bed 9 Lesley Lake
tMVR and tAVR
-#infective endocarditis
-for step mutans on tissue culture
-cef and vanc
#multifacotiral hap copd and apo
-re-intubated day one post op and extubated 29/8
#diarrhea-resolved
#new af with RVR requiring DCCV–successfully reverted
-on amiodarone
#AKI likely sepsis and drug-related
pre-op toe: reasonable global systolic function, dilated lv
TE
Bed 10 Tony Elbatti
TE issues
Bed 10 Tony Elbatti
mechanical bentalls + total arch replacement and frozen elephant trunk for TAAD
-takeback day zero for bleeding
#partial open chest
peri toe
good lv, mod ldv, mod dil
JS
Bed 11 Justin Simpson
JS ful
vasoplegia post op resolving
Bed 11 Justin Simpson
redo tMVR4-pre-existing mvr 15 years ago, developed IE requiring replacement
#heartblock
-pacing dependent post-op
post-op Toe
-mild lv impairment
moderate rv impairment
valve funtioning well
RD
Bed 12 Robert Davis
RD full
Bed 12 Robert Davis
tissue bentalls + total arch replacement + froazen elephant trunk and extra anatomical bypass of let subclaivan artery
issues
#post TAAD
#child pugh b cirrhosis
#AF on amiodarone
#sepsis
- biliary improving following perc chole
#encephalopathy
-non lateralizing
#IJ thrombus on heparin as well for AF
#AKI on CRRT - bilateral renal cortical infarction, will likely need life long dialysis
known background
alcohol missue
alcoholic cirrhosis
oesopgeal varicies
ex ivdu
CTS History
pre-op
-indication
-echo
-angiogram
ot
-grade airway
-products and bleeding
-toe
-cbt
icu
-drain outputs
-cardiac indexes
-can we extubate
-paced
