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Author Archives: Anonymous

Which patient is most appropriate for a nasopharyngeal airwa…

Which patient is most appropriate for a nasopharyngeal airway (NPA)?

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Cardiac POCUS is a complete replacement for a formal echocar…

Cardiac POCUS is a complete replacement for a formal echocardiogram in the perioperative setting.

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What is the rationale for why atrial fibrillation is an imme…

What is the rationale for why atrial fibrillation is an immediate concern in patients with constrictive pericarditis?

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A patient with progressive fatigue, dyspnea, abdominal diste…

A patient with progressive fatigue, dyspnea, abdominal distention, and ascites is scheduled for cardiothoracic surgery. JVP is elevated with a paradoxical rise on inspiration. Chest CT shows pericardial thickening of 8 mm with calcification, no pericardial effusion. Echo demonstrates preserved LV systolic function. Which intraoperative goals are most appropriate?

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During PAC insertion from the right internal jugular vein, t…

During PAC insertion from the right internal jugular vein, the catheter is at 30 cm and the waveform shows the waveform in the image

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What is true about a pacemaker-dependent patient whose pacem…

What is true about a pacemaker-dependent patient whose pacemaker setting is VOO and needs to have surgery with monopolar electrocautery use?

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What Ominiplane degree would give you a Four Chamber Mid-Eso…

What Ominiplane degree would give you a Four Chamber Mid-Esophageal View?

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Which combination of intraoperative findings would most like…

Which combination of intraoperative findings would most likely trigger an acute rise in pulmonary vascular resistance?

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A 62-year-old patient is scheduled for elective right total…

A 62-year-old patient is scheduled for elective right total knee arthroplasty. He underwent placement of a drug-eluting coronary stent seven months ago following a non-STEMI and remains on dual antiplatelet therapy with aspirin and clopidogrel. His home medications also include metoprolol succinate and atorvastatin. He has been asymptomatic since the stent placement and reports he can climb two flights of stairs without chest pain or dyspnea. Which of the following recommendations is most appropriate?

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Which physical exam finding is most consistent with systolic…

Which physical exam finding is most consistent with systolic left-sided heart failure with preserved right ventricular function?

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