Anaesthesia Viva

Post-Coronary Angiography Hypotension and Cardiogenic Shock

Reading Time

2:00

Clinical Stem

2021.1
You are the duty anesthetist for your cardiovascular theatres. You are called to the cardiac catheter lab recovery where they have a hypotensive patient following coronary angiography. The medical emergency team (MET) have been called. The patient is a 55-year-old 85 kg male. He has no allergies or anaesthetic issues. He has a new presentation of heart failure and is being assessed for coronary artery disease. His pre procedure echocardiogram showed a mildly dilated left ventricle with moderate dysfunction and an ejection fraction of 40%. On entering the recovery room you notice a number of people around the patient with more arriving.

Sections covered in this viva

Management including differential diagnosisUrgent management in hybrid theatre including induction for GAPost-stenting decompensation and cardiogenic shock management

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