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Anesthetic assistance is usually requested for patients in cardiogenic shock, patients requiring transfer to theater for urgent surgical revascularisation, or patients presenting to the cath lab following cardiac arrest.

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In the patient is presenting following VF/VT arrest, consider that it may have been secondary to a subarachnoid hemorrhage. Assess clinical picture and ECG, and consider a CT head to rule this out.

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Considerations as for catheter laboratory-any-hospital

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In patients presenting following cardiac arrest, the cardiologist will usually insert a femoral pulmonary artery catheter at the end of the case, prior to transport to ICU.

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May be asked to assist with general anaesthesia for patients that may not be able to lie flat for the procedure. Intubate only on usual criteria. No specific procedural indications.

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1
Right vs Left dominant coronary arteries. Dominance determines supply to SA node and inferior wall. refl.in/i/dominance.jpg

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