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