A 72 year old male with known triple vessel coronary disease has returned to the ICU following an uncomplicated coronary artery bypass grafting (CABG). An intraoperative transoesophageal echo showed good left ventricular systolic function and no significant valvular dysfunction. Mediastinal drains have been inserted and there is minimal blood loss. Thirty minutes after return to the ICU his BP falls to 70/40 mmHg.
- Give the 4 most likely causes for this.
- Outline your immediate management
The patients BP stabilises and 2 hours later you are called to review him since he has developed significant shivering. List 4 possible treatment options
On day 1, the patient is extubated and stable. You are shown the following ECG:
What does it show? What treatment is required?
1 hour later, quite unexpectedly, the patient has a VF cardiac arrest. What are your principles of management?