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Cardio Thoracic Surgeons Discussions (11)

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Cardiac Anesthesia

1. Anesthetic Agents for Adult Cardiac Surgery A. Narcotic Based: Fentanyl and Sufentanil (8 x more potent) B. Hemodynamic stability withou…

Started by Dr.Pratap

0 Aug 28, 2011

Cardiac Arrhythmia-- Tachycardia

1. Supraventricular Tachycardia A. Atrioventricular (AV) nodal re-entrant tachycardia1) Most common cause of paroxysmal tachycardia B. Wol…

Started by Dr.Pratap

0 Aug 28, 2011

Cardiac Arrhythmia- Bradycardia

1. Heart Block Definition A. First Degree - PR interval > 0.2 seconds B. Second Degree - Intermittent AV conduction C. Third Degree - At…

Started by Dr.Pratap

0 Aug 28, 2011

Myocardial Protection and Cardiopulmonary Bypass

1. Myocardial Perfusion A. Normally, subendocardial flow exceeds subepicardial flow B. Myocardial perfusion, however, is altered by cardiop…

Started by Dr.Pratap

0 Aug 28, 2011

Hemorrhage and Thrombosis

COAGULATION BASICS 1. Overview A. Primary hemostasis1) Platelet (a) adhesion, (b) activation, (c) aggregation B. Secondary hemostasis1) Ac…

Started by Dr.Pratap

0 Aug 28, 2011

Assisted Circulation

1. Advanced Mechanical Support A. Indications1) Post-cardiotomy cardiogenic shock 2) Post-MI cardiogenic shock 3) Post-transplant graft fai…

Started by Dr.Pratap

0 Aug 28, 2011

Low Cardiac Output & Circulatory Support

CARDIOGENIC SHOCK 1. Definition A. Definition1) BP systolic < 80 mmHg (or 30 mmHg below basal, BP mean <60 mmHg) 2) CI < 2 L/min/M…

Started by Dr.Pratap

0 Aug 28, 2011

Cardiovascular Physiology/Pharmacology

1. Heart Muscle Mechanics - 3 concepts A. TENSION (force) - Elements contributing:1) Contractile element => Active tension 2) Elastic el…

Started by Dr.Pratap

0 Aug 28, 2011

Echocardiography

1. High frequency ultrasound = 2.0 - 7.5 MHz A. Adults = 2.0 - 2.5 MHz B. Pediatric = 3.0 - 5.0 MHz C. TEE = 3.5 - 7.5 MHz D. M-mode "ice p…

Started by Dr.Pratap

0 Aug 28, 2011

Developmental Anatomy

1. Basic Principles A. Cardiovascular system is first functional system in embryo B. Blood circulation by 3 weeks (21 days) C. Heart develo…

Started by Dr.Pratap

0 Aug 28, 2011

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