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?

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

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

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

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

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?

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

You are called to the PACU to assess a patient with high blood pressure. On arrival you find the blood pressure is 183/97 with HR of 72, SpO2 97%, respiratory rate of 12, and a temp of 97.2°F. The patient reports no pain and reports feeling calm. The PACU nurse tells you they are going to grab the patient a warm blanket since the patient is shivering. You decide to order:

Which of the following correctly identify the approximate distance from the insertion site to the right atrial–vena caval junction? (select 3 of 5)

A 72-year-old male with an aortic valve area of 0.7 cm² and a mean transvalvular pressure gradient of 52 mm Hg presents for elective hip arthroplasty. What would be included in your plan for this patient?