Cases/

Equalized and empty

Obstructiveintermediate00:00Score 100
Obstructiveintermediate7 min

Equalized and empty

Handover

CABG day 1. The night nurse says the CVP climbed, the pulse pressure vanished, and he looks mottled. You hear almost nothing. The catheter has stopped arguing with itself: RA 18, PAD 18, PCWP 18, CO 2.5. The y descent on the RA tracing is a rumor. This is minutes, not a formal pericardial window conference.

Untreated tamponade, massive PE, or a crashed CPO/PAPi will keep dropping MAP and climbing lactate. Name the tracing, then move.

Goals

  • · Pericardium drained
  • · Equalization resolved
  • · CO ≥ 3.8 L/min