CARDIOTHORACIC SURGERY MNENONICS

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CARDIOTHORACIC SURGERY MNENONICS

Causes of low cardiac output after heart surgery:
"PRACTICE"
P - Preload
R - Rate and Rhythm : arrythmias
A - Afterload:reduced
C - Contractility:too high
T - Tamponade
I - Insufficiency(valve)
C - Complication from MI(e.g VSD)
E - Electrolyte imbalance (Ca ,K ,Mg)

Complications After Heart Surgery :
"MIS SHaKIR"
M - Myocardial ischemia or infarction
I - Inflammatory state(SIRS)
S - Shock
S - Stroke
H - Hemorrhage or temponade
K - Kidney failure
I - Infection
R - Rhythm disturbances

Indications for operating on a Type B Dissection :
"TEAR ME"
T - TEVAR expertise
E - Effusion-Left pleural
A - Aneurysmal dilatation
R - Refractory pain
M - Malperfusion syndrome
E - Extension proximally

The 7 most important STS Predicators of CABG mortlity:
"E-CARDS"
E - EF
C - Creatinine
A - Age/Acuity
R - Redo
D - Dialysis
S - Shock

Ventricular Assist device related complications:
"HATE SIR"
H - Hemorrhage
A - Aortic insufficiency
T - Thrombosis
E - Embolism
I - Infection
R - Right ventricular dysfunction
S - Stroke

Weaning from cardiopulmonary bypass :
"PREVARICATE"
Pressure
R - Rate and Rhythm
E - Electrolytes and other labs
V - Ventilation
A - Air evacuation(vent)
R - Retained Blood(pleura)
I - Inotropes and pressor
C - Conduits(position bleeding)
A - Anastomosis(bleeding)
T - Temperatures(patient,room)
E - Eyes on the heart

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