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Describe your preoperative considerations for a patient with aortic stenosis?

History & Examination Full anaesthetic history Specific areas of focus: Associated symptoms Last echo and it’s findings Cardiology interventions and follow-up Examination of cardiovascular and respiratory system   Investigations Echo – strongly...

How is it decided what approach to take for the interventional management of aortic stenosis?

There are three interventional options for severe symptomatic AS The choice for intervention must be based on careful individual evaluation of technical suitability and weighing of risks and benefits of each...

What are the interventional options available for aortic stenosis and what are their indications and advantages?

There are three interventional options for severe symptomatic AS The choice for intervention must be based on careful individual evaluation of technical suitability and weighing of risks and benefits of each modality Interventiom Surgical Valve Replacement...

When should intervention be considered for a patient with aortic stenosis?

Intervention should be performed for patients with: Symptomatic severe aortic stenosis Asymptomatic severe aortic stenosis with any of: Systolic LV dysfunction (LVEF <50%) not due to another cause Abnormal exercise testing Markedly elevated BNP Severe pulmonary...

What are the haemodynamic goals for managing the patient with aortic stenosis?

Parameter Preload Rate & Rhythm Rhythm Contractility Afterload Goal ↑ ↓ Sinus Maintain ↑ Comment LV hypertrophied and compliance is poorOptimize preload to enable adequate filling of the LV (guided by cardiac output monitoring)Vasodilators...
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SOE Cases

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SBAs

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CRQ Cases

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OSCE Cases

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