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?
Read DetailsA 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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