Anaes Vivas · Cardiac anaesthesia
Weaning from bypass and low cardiac output — viva
Structured oral examination station for weaning-from-bypass-low-output.
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Study tools
Target exams
ANZCAFRCAEDAICABAFCAI
Prompt
Cardiac theatre stem focusing on weaning from bypass and low cardiac output with a monitoring printout and TOE still available.
Opening
One-line answer: full flow, TOE on, RRRAC out loud — phenotype before pharmacology, support before the third failed wean, protamine only when stable.
[2] [3]References3ShowHide
- [1]Mazer CD, Whitlock RP, Fergusson DA, et al. Restrictive or Liberal Red-Cell Transfusion for Cardiac Surgery. New England Journal of Medicine, 2017.PMID 29130845
- [2]Hahn RT, Abraham T, Adams MS, et al. Guidelines for performing a comprehensive transesophageal echocardiographic examination: recommendations from the American Society of Echocardiography and the Society of Cardiovascular Anesthesiologists. Journal of the American Society of Echocardiography, 2013.PMID 23998692
- [3]Levy JH, et al. What's fishy about protamine? Clinical use, adverse reactions, and potential alternatives. Journal of Thrombosis and Haemostasis, 2023.PMID 37062523