Prince Charles Hospital

  • 70-year-old female, day 3 ICU following re-admission for shock three days post AVR and who underwent re-sternotomy two days earlier for cardiac tamponade. She had a background of end-stage kidney disease treated with peritoneal dialysis. Clinical signs included decreased air entry at bases, prosthetic aortic valve and pericardial rub, vascath and peritoneal dialysis catheter in situ. Candidates were directed to assess her suitability for extubation.