Elderly Spinal Surgery with New Atrial Fibrillation
Reading Time
2:00
Clinical Stem
2020.2
You are the anaesthetist in the Anaesthetic Assessment Clinic.
The spinal surgeon has referred an 82-year-old woman for an anaesthetic assessment. The proposed surgery is L4/5 spinal decompression and instrumented fusion for lumbar spinal stenosis.
The surgeon's booking notes state:
- hypertension
- diabetes mellitus
- myocardial infarction 10 years ago
Medications:
- aspirin
- metformin
- quinapril
- vildagliptin
This is today's ECG.
Sections covered in this viva
Preoperative assessment with new AF on ECGAnticoagulation management and intraoperative arrhythmia