75-year-old female, day 2 post emergency coronary artery grafting for severe left main disease and NSTEMI with persisting low cardiac output state. Background included type 2 diabetes and hypertension. She was intubated and ventilated with cardiovascular support including an intra-aortic balloon pump, nor-adrenaline and milrinone.
Candidates were directed to review her and outline their plan of management for the day. Discussion points also included management of the IABP and weaning and extubation.