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Considerations as for cardiopulmonary bypass.

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Considerations as for cardiac surgery

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Ask about contraindications for TOE/TEE (oesophageal/gastric surgery, oesophageal radiation, history suggestive of retropharyngeal pouch)

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Premedication: Oxycodone 10-20mg. Temazepam 10-20mg. Oxygen via hudson mask. "On call" #mmc

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If aortic stenosis is present, a hypertrophied left ventricle will generally require a high diastolic pressure to maintain a normal coronary perfusion pressure.

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Indwelling urinary catheter (IDC)

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The blood pressure in paediatric patients with non-failing ventricles following repair of regurgitant valve lesions is often high coming off pump due to a now structurally improved heart with what is usually a large but resilient ventricle.
#IM

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If inserting a nasal temperature probe, do this before heparinisation to reduce the risk of bleeding #safety

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