You are the Consultant Intensivist in charge for the day with a new registrar in their first week working in ICU. You are called about a 53-year-old man with hypotension 30 minutes after elective admission post coronary artery bypass grafts and mitral valve repair.
A 62-year-old male is admitted to the ICU post-operatively having undergone a transthoracic oesophagectomy for squamous cell carcinoma of the oesophagus. The patient is extubated post-operatively but requires reintubation due to respiratory failure.
A 74-yr-old man with a past history of hypertension and NIDDM has just undergone a 3- vessel graft and aortic valve replacement for aortic stenosis. You are on duty when the patient is transferred to ICU postoperatively.
The procedure which was examined was insertion of a transvenous pacemaker. The indications for, principles of pacemaker insertion and testing for sensitivity and thresholds and complications were examined.
Scenario: A 65 year old diabetic man returns from theatre after coronary artery bypass grafting with an intra-aortic balloon pump in situ. His pre-op history included diabetes mellitus and hyperlipidemia.