Multiprofessional Critical Care Review: Adult 2024 (MCCRCA24ON)-Section 3 Handouts

Section 3 Handouts

Pdf Summary

Vasoplegic syndrome (D) is the most likely cause of decompensation in a post-cardiac surgery patient who is hypotensive and unresponsive to treatment. It is characterized by severe hypotension, decreased filling pressure, and low systemic vascular resistance. Treatment involves supportive care and the use of vasopressors. Other possible causes, such as cardiac tamponade (A), coronary graft occlusion (B), low cardiac output syndrome (C), and bleeding requiring reoperation (E), should also be considered. Supraventricular arrhythmias in the ICU have a higher incidence and are associated with increased mortality. Treatment options include medications, adenosine, electrocardioversion, and ablation. Bradyarrhythmias can have various causes and require assessment and appropriate treatment. Ventricular arrhythmias are prevalent in the ICU and have high mortality rates. The management approach involves determining urgency, identifying the cause, and initiating therapy. Prompt treatment is essential. Different cases highlight the importance of recognizing and managing various cardiac arrhythmias effectively.

Keywords

Vasoplegic syndrome

Post-cardiac surgery

Hypotension

Systemic vascular resistance

Vasopressors

Cardiac tamponade

Coronary graft occlusion

Low cardiac output syndrome

Supraventricular arrhythmias

Ventricular arrhythmias

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