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Congenital Heart Disease: Atrioventricular Septal Defects
Fig. 57.1 Cross section of the heart showing mitral and tricuspid valve apparatus and common atrial and ventricular septal defects in a case of CAVC. Reproduced from Böök K, Björk V. O,…
Pacemakers and Implantable Cardioverter Defibrillators
Fig. 10.1 Dual-chamber pacemaker Fig. 10.2 Single-chamber ICD Fig. 10.3 CRT-D A transvenous CIED will generally have a pulse generator located in the prepectoral region. An epicardial system may have an abdominal pulse…
Brachial Plexus Block
Past medical history: Atrial fibrillation, COPD, CHF Medications: Coumadin 3 mg PO daily, Albuterol MDI 2 puffs prn for shortness of breath, Spiriva 2 puffs daily, furosemide 20 mg PO daily, metoprolol…
Gastroschisis and Omphalocele
Gastroschisis Omphalocele Incidence 4.5: 10,000 3: 10,000 Embryology Anterior abdominal wall defect, umbilical cord intact and to the right of defect. No membranous sac. Usually small and large intestines…
Anesthesia for Open Repair of Abdominal Aortic Aneurysm
Additional history includes moderate renal artery stenosis and breast cancer, s/p lumpectomy. PSH: Left hip replacement, CEA, CABG × 3, AVR Meds: Amlodipine, atorvastatin, bumetanide, metoprolol, aspirin Allergies: simvastatin (muscle aches), cefazolin…
The Difficult Airway
PMHx: Obesity Asthma Medications: Oral contraceptives Allergies: None known PSHx: C/S × 2 Sinus surgery Physical Exam: Height 5′6″ (167 cm) Weight: 210 lbs (95.5 kg) (BMI 34) VS: HR 106 BP 108/59 RR 22…
Spine Surgery and Intraoperative Monitoring
Medications: Gabapentin 100 mg three times a day Tramadol 50 mg every 6 h if needed Hydrochlorothiazide 12.5 mg twice a day Metoprolol 25 mg once a day Losartan 50 mg once a day Pantoprazole 40 mg…
Transsphenoidal Hypophysectomy
Medications: Simvastatin 20 mg oral daily Lisinopril 20 mg oral daily Glyburide 10 mg oral daily Allergies: NKA Past Medical History: Hypertension Hyperlipidemia Obesity Recent admission with Congestive heart failure Remote smoker Physical…
Depolarizing Neuromuscular Blocking Agents
Medications ASA 81 mg daily Lisinopril 10 mg daily Simvastatin 40 mg daily Sertraline 100 mg daily Coumadin 5 mg daily Tylenol PRN Allergies No Known Drug Allergies Past Medical History Hypertension Hyperlipidemia Depression DVT…