Gastric POCUS, 3-Part Episode
April 2024 OA-POCUS Case of the Month
Anesthesia Services in Tanzania and Kenya
OA-Global Health Equity Ask the Experts - April 2024
REPOST: October 2021 – Pediatric Tracheal Extubations
April 2024 OA-SPA Ask the Expert
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Question of the Day
A 68-year-old patient with hypertension and coronary artery disease presents for CABG. An intraoperative TEE reveals severe ischemic mitral regurgitation with a dilated mitral valve annulus. Which of the following BEST represents hemodynamic goals prior to initiation of cardiopulmonary bypass in this patient?
Explanation
The patient above has two different cardiac conditions with both coronary disease and mitral regurgitation and the hemodynamic goals of both disease processes should be considered. Patients with mitral regurgitation do not tolerate increases in afterload because this will increase the regurgitant fraction and reduce forward cardiac output. High normal heart rates reduce left ventricular volumes and will lessen mitral regurgitation caused by annular dilation as is seen in ischemic mitral regurgitation. As the patient also suffers from coronary disease, it is important to avoid tachycardia because this may worsen ischemia and ischemic mitral regurgitation. Preload should be maintained but not increased. Low normal heart rate, increased preload, and increased afterload are the hemodynamic goals for stenotic lesions.
OA Series: April 2024
Vodcast
06:08
OA-POCUS Case of the Month
Gastric POCUS, Part 1 of 3Eric R. Heinz, MD, PhD, George Washington University, Yuriy Bronshteyn, MD, FASE, Duke University Health System
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Vodcast
17:46
OA-POCUS Case of the Month
Gastric POCUS, Part 2 of 3Eric R. Heinz, MD, PhD, George Washington University, Yuriy Bronshteyn, MD, FASE, Duke University Health System
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Vodcast
04:43
OA-POCUS Case of the Month
Gastric POCUS, Part 3 of 3Eric R. Heinz, MD, PhD, George Washington University, Yuriy Bronshteyn, MD, FASE, Duke University Health System
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Podcast
41:04
OA Global Health Equity Ask the Expert
Anesthesia Services in Tanzania and KenyaSamuel Percy, MD, Children's Hospital Colorado
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Podcast
16:40
OA-SPA Ask the Expert
REPOST: October 2021 – Pediatric Tracheal ExtubationsDebnath Chatterjee, MD, FAAP, Children’s Hospital Colorado
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