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Date Of Surgery
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Diagnosis
• • •
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LV function
• • •
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Acute MI with cadiogenis shock
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procedure OPCABG x
• • •
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Associated Procedure
• • •
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Anti platlets
• • •
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Antiplatlets Stoped
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Surgeon(s)
• • •
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Admitting consultant
• • •
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Anesthetist
• • •
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Anesthesia
• • •
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Perfusionist
• • •
|
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Scrub nurse
• • •
|
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TEE
• • •
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findings
• • •
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Stabilizer
• • •
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CUP
|
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Conduits
|
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LIMA
|
LIMA not used due to comments
• • •
|
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RIMA
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RSVG
• • •
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Cardiopulmonary Byapss
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CPB mitral, yes / Aortic
|
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intraop findings
• • •
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intraop findings
• • •
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Grafts
|
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LAD
• • •
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conduit to lad
• • •
|
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Diagonal
• • •
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conduit to diagonal
• • •
|
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Ramus
• • •
|
conduit to ramus
• • •
|
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Obtuse marginal
• • •
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conduit to om
• • •
|
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RCA
• • •
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conduit to rca
• • •
|
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PDA
• • •
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conduit to pda
• • •
|
|
poteriolateral branch
• • •
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conduit to plb
• • •
|
|
mitral Valve repair
|
|
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MITRAL Valve replacement
• • •
|
|
|
AVR
• • •
|
|
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tricuspid valve
• • •
|
|
|
OFF CPB
|
Adenosine
|
|
defibrilation required
|
|
|
|
|
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proximals partial /cross
|
|
|
|
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PUMP time / cross clamp time
/
|
|
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Ionotropes
• • •
|
ionotropic support
• • •
|
|
|
|
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Pacing wire
• • •
|
|
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IABP
|
|
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IABP
|
indication fo IABP
• • •
|
|
|
|
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Blood products
• • •
|
Autotransfusion
• • •
|
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Drains
• • •
|
|
|
chest closure
|
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Diagram
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