Royal Prince Alfred Hospital

  • A 76 year old man who presented with unstable angina and had an urgent CABG 4 days ago.  
    Bedside findings were:

    a) Sternotomy and saphenous venotomy scars
    b) Raised A-a gradient
    c) PAFC
    d) Haemodynamic data
    e) CVVHDF on citrate anticoagulation
    f) High dose inotrope requirement

    Current issues were:
    a) vasodilatory shock
    b) Discussion of hypoxia
    c) ARF – causes and management