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