Book contents
- Anesthesia Oral Board Review
- Anesthesia Oral Board Review
- Copyright page
- Contents
- Contributors
- Acknowledgments
- Letter from the Associate Editor
- How to Use This Book
- Format
- Applied Exam Tips for Success
- Part I General Information
- Part II Anesthetic-Related Critical Events and Information
- Section 1 Respiratory, Airway, and Ventilator Management
- Section 2 Cardiac, Thoracic, and Vascular Anesthesia
- Chapter 24 Hypotension
- Chapter 25 Hypertension
- Chapter 26 Arrhythmias
- Chapter 27 Cardiac Conduction Blocks
- Chapter 28 Acute Coronary Syndrome
- Chapter 29 Embolism
- Chapter 30 Cardiac Tamponade
- Chapter 31 Current ACC/AHA Guidelines for Peri-operative Cardiac Evaluation for a Noncardiac Surgery
- Chapter 32 Pacemaker/Implantable Cardioverter-Defibrillators (ICDs): Considerations for Anesthesiologists
- Chapter 33 Cardiac Valvular Abnormalities
- Chapter 34 Transcatheter Aortic Valve Replacement
- Chapter 35 Point of Care Ultrasound
- Chapter 36 Intra-operative Transesophageal Echocardiography
- Chapter 37 Cardiopulmonary Bypass (CPB) and Associated Anticoagulation
- Chapter 38 Carotid Surgery
- Chapter 39 Mediastinal Mass
- Section 3 Neuroanesthesia
- Section 4 Renal and Urological
- Section 5 Hepatic and Gastrointestinal
- Section 6 Obstetric Anesthesia
- Section 7 Pediatric Anesthesia
- Section 8 Endocrine
- Section 9 Trauma Anesthesia
- Section 10 Emergency Events
- Section 11 Organ Transplant
- Section 12 Post-Anesthesia Care Unit
- Section 13 Acute and Chronic Pain
- Section 14 Other Situations
- Section 15 Safety and Ethics
- Index
- References
Chapter 30 - Cardiac Tamponade
from Section 2 - Cardiac, Thoracic, and Vascular Anesthesia
Published online by Cambridge University Press: 03 August 2023
- Anesthesia Oral Board Review
- Anesthesia Oral Board Review
- Copyright page
- Contents
- Contributors
- Acknowledgments
- Letter from the Associate Editor
- How to Use This Book
- Format
- Applied Exam Tips for Success
- Part I General Information
- Part II Anesthetic-Related Critical Events and Information
- Section 1 Respiratory, Airway, and Ventilator Management
- Section 2 Cardiac, Thoracic, and Vascular Anesthesia
- Chapter 24 Hypotension
- Chapter 25 Hypertension
- Chapter 26 Arrhythmias
- Chapter 27 Cardiac Conduction Blocks
- Chapter 28 Acute Coronary Syndrome
- Chapter 29 Embolism
- Chapter 30 Cardiac Tamponade
- Chapter 31 Current ACC/AHA Guidelines for Peri-operative Cardiac Evaluation for a Noncardiac Surgery
- Chapter 32 Pacemaker/Implantable Cardioverter-Defibrillators (ICDs): Considerations for Anesthesiologists
- Chapter 33 Cardiac Valvular Abnormalities
- Chapter 34 Transcatheter Aortic Valve Replacement
- Chapter 35 Point of Care Ultrasound
- Chapter 36 Intra-operative Transesophageal Echocardiography
- Chapter 37 Cardiopulmonary Bypass (CPB) and Associated Anticoagulation
- Chapter 38 Carotid Surgery
- Chapter 39 Mediastinal Mass
- Section 3 Neuroanesthesia
- Section 4 Renal and Urological
- Section 5 Hepatic and Gastrointestinal
- Section 6 Obstetric Anesthesia
- Section 7 Pediatric Anesthesia
- Section 8 Endocrine
- Section 9 Trauma Anesthesia
- Section 10 Emergency Events
- Section 11 Organ Transplant
- Section 12 Post-Anesthesia Care Unit
- Section 13 Acute and Chronic Pain
- Section 14 Other Situations
- Section 15 Safety and Ethics
- Index
- References
Summary
A 65-year-old female, morbidly obese, smoker (one pack per day for 35 years), with a history of hypertension (HTN), coronary artery disease (CAD), and diabetes mellitus treated with insulin, underwent an uneventful coronary artery bypass graft (CABG). The patient was taken, sedated and intubated, to the intensive care unit (ICU), with dopamine at 5 μg/kg/min and insulin 2 IU/h as continuous infusions. After 3 hours in the ICU, the patient suddenly became tachycardic, and her blood pressure decreased dramatically. She had no response to a higher dose of dopamine and norepinephrine infusion. The surgical fellow on call in the ICU performed an emergent needle pericardial aspiration, which removed 100 cc of fresh blood. The patient was taken emergently to the operating room (OR) on a wide-opened epinephrine drip. After a thoracotomy and pericardiocentesis, the patient’s hemodynamic status improved significantly. How would you have prepared this patient for surgery? What would be your choice of induction drugs, and why?
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- Information
- Anesthesia Oral Board ReviewKnocking Out The Boards, pp. 132 - 136Publisher: Cambridge University PressPrint publication year: 2023