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Nội dung text 6 Non Cardiac Sx For A CHD Patient.pdf

Studybook 15 : Chapter 6 onCardiac Surgery for a CHD patient

Timing of Surgery : a) HIGH RISK Surgery : only in centres with Cardiac KU b) ELECTIVE Surgery : only for patients who have -- undergone Cardiac corridine surgeries , with Stable physiology. -- @ STABLE palients : with Minimal physiological derangements DAY CARE Surgery Preof Evaluation : 1) Patient's comorbidities Increased ) Symptoms-Heart failure , Cyanosis, Periop Risk Pulmonary artery hypertension, Poor exercise tolerance, Renal insufficiency · Paar exercise tohrance = (V reserve Indicator 3) Previous Cardiac procedures including prior investigations Investigations : CBC , Renal profile , CXR , ECG c) Cardiac Catheterisation 3) Echo ; If required , must be repeated and compared with previous echo , to see if the condition has deteriorated and evaluate any conduits 1) Coagulation Profile (s10 Coagulopathy

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