Review Note
Last Update: 01/29/2025 03:22 AM
Current Deck: ACG Part 2::Cardiac SSU
PublishedCurrently Published Content
Front
SS_CS 1.7 Describe an appropriate anaesthetic technique for the following cardiac surgical procedures including haemodynamic goals:
• Emergency Coronary artery bypass
• Emergency Coronary artery bypass
Back
Emergency CABG
Unsuccessful PCI with ongoing ischaemia, persistent ACS not amenable to PCI, coronary artery dissection following angio
Periop
- Recent DAPT, high risk of bleeding
- IV access as per cath lab +/- IABP
- Consider awake CVL prior to induction for inotrope administration
- Induction strategies:
- Midazolam 5-10mg
- Etomidate 0.05-0.2mg/kg
- Ketamine 0.5-1mg/kg
- Caution with fentanyl, reliant on sympathetic drive
- Progression to CPB depending on patient haemodynamic stability
- Low threshold for platelet transfusion, consider platelet mapping + TEG
- Increased risk of inotropic or mechanical support postop
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