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FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com

WORLD EMERGENCY MEDICINE SOCIETIES & RELATED

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lunes, 17 de junio de 2019

Post-CABG

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emDocs - June 17, 2019 - Author: Montrief T - Edited by: Koyfman A and Long B
"Pearls and Pitfalls
  • Post-CABG patients most commonly present to the ED for post-operative infections, CHF, and chest discomfort.
  • DSWIs occur in 1–2% of all patients undergoing cardiac surgery, but have up to a 30% mortality rate.
  • Ultrasound is an invaluable tool to evaluate for a pericardial effusion, but a retrocardiac clot is difficult to see on either transthoracic echo or X-ray and may be missed.
  • Acute resuscitation of the hemodynamically unstable post-CABG patient includes optimizing preload, rate, rhythm, contractility, and afterload.
  • Early surgical consultation can help guide the diagnostic and therapeutic management."