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SurgSpace

06 / Cardiac Surgery · advanced

Falling output on the first night

  1. ED
  2. Investigations
  3. Pre-Op
  4. OR
  5. Ward
  6. Debrief

Numbers drifting the wrong way

Central venous pressure has climbed from 8 to 19. The systolic is 88 and falling, she is tachycardic, her extremities are cool, and hourly urine has dropped to 10 mL. The mediastinal drains, which ran 120 mL in the first hour, have produced almost nothing in the last two.

Open in 3D: the pericardium and cardiac chambers

The pattern of a high filling pressure with a low output and drains that suddenly stopped means:

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