You are the duty anaesthetist and respond to an urgent call from the cardiac anaesthetic fellow who requires assistance in the cardiac catheter lab.
Upon your arrival, the fellow briefs you that they have just completed a transcatheter aortic valve implantation (TAVI) under sedation on an 88-year-old woman weighing 56 kg. The procedure itself was uncomplicated. However, following transfer across to the coronary care bed, the patient's blood pressure has dropped to 80/40 mmHg as measured on the arterial line.
Sections covered in this viva
Section 1 – Assessment and management of hypotension following transcatheter aortic valve implantation (TAVI)Section 2 – Anaesthetic induction and neurological assessment in a haemodynamically unstable patient with a suspected stroke following a TAVISection 3 – Anaesthetic management and haemodynamic goals during endovascular clot retrieval for acute stroke