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Doctor insights on: Antiarrhythmic Post Eds Surgery

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Atrial fibrilation post triple bypass surgery risks and concerns after one incident ?

Atrial fibrilation post triple bypass surgery risks and concerns after one incident ?

A fib: Risk of emboli going to brain causing stroke. Rapid ventricular response(heart rate to high) may cause angina, dizziness, passing out, heart attacks, other heart irregular rhythms. Let you cardiologist manage case. Is complex to explain here. It is certainly manageable. ...Read more

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Antiarrhythmic (Definition)

Antiarrythmics treat or prevent the heart from going out ...Read more


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Had 3 hour surgery. What are some post anesthesia problems?

Had 3 hour surgery. What are some post anesthesia problems?

Anesthesia problems: Side effects depend on the type of anesthesia, the length and type of surgery, the age and gender of the patient, and other medical conditions that patients have at the time of surgery. With general anesthesia, people sometimes have nausea, sore throat, hoarse voice and muscle aches. Spinal blocks have a low risk of headache. Nerve blocks have a rare risk of nerve injury or infection. ...Read more

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Treatment for prolonged fever(post operative bypass surgery)?

Treatment for prolonged fever(post operative bypass surgery)?

Toradol: If this is within two weeks, it could be postcardiotomy syndrome, which responds to Toradol or similar Non steroid anti inflammatories. If beyond a few weeks, might be a lingering infection. Please consult your surgeon. ...Read more

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What are pain expectations. on post op carotid surgery?

What are pain expectations. on post op carotid surgery?

Can vary greatly: Any surgical procedure will have some sort of pain associated with it - because everyone tolerates pain differently, it's near impossible to truly answer your questions. Rest assured, your nurses and doctors post-operatively will monitor your pain levels and correct them as needed or as able. Remember, reasonable pain control does not mean you feel no pain / zero pain / zero out of 10 on the scale ...Read more

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Which type of heart surgeon performs coronary bypass surgeries?

This defines them: Heart surgeon (cardiovascular surgeon) does coronary bypass surgeries as well as heart valve replacements. ...Read more

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Would propofol given during surgery induce VT in BRUGADA syndrome patient ?

Would propofol given during surgery induce VT in BRUGADA syndrome patient ?

Brugada & anesthesia: The risk of a drug causing or worsening a cardiac rhythm disturbance is a concern with some anesthetic drugs. For patients w/ Brugada syndrome, this is a much more significant issue. In a study of 57 patients w Brugada, a single dose of propafol did not cause problems, but extreme caution is advised for general anesthesia of Brugada patients especially w prolonged propafol infusion. ...Read more

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Pre CABG ef 55% is it risky undergoing for surgery....What r the complications....?

Pre CABG ef 55% is it risky undergoing for surgery....What r the complications....?

EF: Ef or ejection fraction is the amount of blood ejected with each beat of the heart. An ejection fraction of 55 - 60 per cent is normal. A low ef, below 30 or 35 per cent has a higher risk for any surgery including cardiac surgery. The risks are of more complications with surgery such as heart failure, forming of a blood clot, or a stroke. ...Read more

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What are post whipple surgery complications?

What are post whipple surgery complications?

Whipple type: Pancreatectomy, or radical pancreatico-duodenectomy) is an extensive operation. Besides infection, hemorrhage, and possible injury to adjacent organs (there are many organs and vital structures adjacent to duodenum and pancreas), some complications include pancreatic fistula, intestinal obstruction, liver failure, diabetes, malabsorption, progression of malignancy, and even perioperative death. ...Read more

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Can I prescribe beta blockers in post-coronary artery bypass surgery with LBBB patient?

Can I prescribe beta blockers in post-coronary artery bypass surgery with LBBB patient?

Yes: Beta blockers are strongly indicated in a post CABG patient. The vast majority of patients with a left bundle branch block (lbbb) will tolerate them well. If there are other arythmias (second degree heart block etc) much more care would need to be taken. ...Read more

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What are common post op reactions after nissen fold surgery?

What are common post op reactions after nissen fold surgery?

Many: Most common initially is difficulty swallowing. This is normal and goes away w time. Long term, most pts can not burp, vomit, and have lots if gas/gurgling. This may get better over time (yrs). Don't let this dissuade u from surgery however. Most pts are extremely happy and have great quality of life. Worse the symptoms, better pts feel. ...Read more

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Any personality changes after cardiac bypass surgery ?

Any personality changes after cardiac bypass surgery ?

Sometimes: Although many patients experience some effects on the brain as the result of cardiac bypass, personality changes are not particularly common. The most common changes require sophisticated neuropsychological testing to detect. Drugs and unanticipated adverse outcomes can also affect personality following surgery. Off pump surgery has been touted as a solution, however this has not been born out. ...Read more

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What are complications of an asthmatic after cardiac bypass surgery?

What are complications of an asthmatic after cardiac bypass surgery?

Depends: Most pts have there asthma controlled and have infrequent episodes . These pts do well post op. The more brittle asthmatics may require more agressive pulmonary toilet post op. They may require IV steroids and breathing treatments . They may not tolerate the beta blockers that are used . Despite this even difficult asthmatic pts do well they may need a little longer recovery time ...Read more

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Are prophylactic antibiotics required for patients whom have had heart valve surgery when having open incision procedures such as breast core biopsy?

Are prophylactic antibiotics required for patients whom have had heart valve surgery when having open incision procedures such as breast core biopsy?

No.: Core biopsy is a clean procedure done with a needle (8g-14g) via a small puncture site (no major incision). As long as standard sterile technique is maintained and the skin is prepped/cleaned (i.e. Alcohol wipe), there is minimal if any risk of seeding infection. The need for antibiotic prophylaxis with valves is primarily in contaminated fields (i.e. Mouth, bowel, etc) or more major intervention. ...Read more

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