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UF Health University of Florida
Department of Anesthesiology College of Medicine
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Clinical Overview

77/CICU

PA Catheter
Cardiac Bypass
Congestive Heart Failure
Ventricular Assist devices
Intra-Aortic Balloon Pumps
Endocarditis
Mitral Valve Disease
Maze
ACS
Left-Sided Valvular Disorders
Pacemakers
Hypertension
Right Heart Dysfunction
Temporary Pacing
Evaheart
A. Fib
HOCM
Thoracic Aortic Repairs

PA Catheter Basics

*Please take the quiz below the video to receive credit.

Objectives

  1. Review the components and proper placement of the PA catheter
  2. Understand the physiological measurements of a PA catheter and how to appropriately interpret them
  3. Discuss how to properly integrate the use of the PA catheter within the surgical critical care population

Articles

Lecture

Quiz

Use the below images for questions 2 and 3.

Question 2

Question 3

PA Catheter

Basics of Cardiac Bypass

*Please take the quiz below the video to receive credit.

Objectives

  1. Describe the mechanics of cardiopulmonary bypass
  2. Identify the physiologic changes that occur during and after bypass
  3. Recognize how the elements of bypass can affect the postoperative management

Articles

Lecture

Quiz

Cardiac Bypass

Congestive Heart Failure

*Please take the quiz below the video to receive credit.

Objectives

  1. Differentiate among the causes of cardiogenic shock and describe the appropriate treatment for each
  2. Describe commonly used inotropes and pressers along with their mechanism of action
  3. Understand the etiology and management of cardio-renal syndrome

Articles

Lecture

Quiz

Question 3 Image
Question 8 Image

Congestive Heart Failure

Ventricular Assist Devices

*Please take the quiz below the video to receive credit.

Objectives

  1. Understand the indications for LVAD placement
  2. Compare and contrast the most commonly used VAD devices and describe the general mechanics of each
  3. Identify common problems seen postoperatively and describe how to appropriately manage them

Articles

Lecture

Quiz

VADs

ICU Intra-Aortic Balloon Pumps

*Please take the quiz below the video to receive credit.

Objectives

  1. Describe indications for placing an IABP.
  2. List contraindications to an IABP.
  3. Discuss waveforms associated with an IABP.

Articles

Long-Term Mortality Data from the Balloon-Pump Assisted Coronary Intervention Study (BCIS-1): A Randomized Controlled Trial of Elective Balloon Counterpulsation during High-Risk PCI.

Lecture

Quiz

Balloon Pumps

Infective Endocarditis

*Please take the quiz below the video to receive credit.

Objectives

  1. Discuss pathophysiology of infective endocarditis.
  2. List microbiological factors.
  3. Explain diagnostic criteria and approach to infective endocarditis.
  4. List clinical manifestations of infective endocarditis.
  5. List treatement modalities of infective endocarditis per the American Heart Association Guidelines.

Articles

Lecture

Quiz

Endocarditis

Mitral Valve Disease

*Please take the quiz below the video to receive credit.

Objectives

  1. Cite the primary causes of mitral valve stenosis/regurgitation
  2. Identify the underlying pathophysiology associated with these valvular dysfunction
  3. Recognize common clinical manifestations of mitral valve disease
  4. Describe surgical treatment for mitral stenosis/regurgitation

Articles

Lecture

Quiz

Mitral Valve

Maze

*Please take the quiz below the video to receive credit.

Objectives

  1. List non-surgical treatment options for Atrial Fibrillation.
  2. Describe the Surgical Treatment of Atrial Fibrillation.
  3. Explain what a MAZE operation is.

Articles

Lecture

Quiz

Maze

Acute Coronary Syndrome

*Please take the quiz below the video to receive credit.

Objectives

  1. Recite the Definition of ACS.
  2. Recite the Pathophysiology of ACS.
  3. Recite the Epidemiology of ACS.
  4. Identify the Risk Factors of ACS.
  5. Evaluation of ACS.
  6. List the Treatment goals of ACS.
  7. List the Pharmacotherapy of ACS.
  8. Identify the Revascularization strategies for ACS.
  9. Recite the Inpatient STEMI Protocol.

Articles

Lecture

Quiz

Question #8 EKG

ACS Quiz

Left-Sided Valvular Disorders

*Please take the quiz below the video to receive credit.

Objectives

  1. Discuss the anatomy and physiology of normal cardiac function.
  2. Review different causes and etiologies of valvular disorders of the left sided heart valves.
  3. Articulate different treatment goals and modalities for valvular dysfunction in the icu setting.
  4. Discuss the evidence based on the management of left sided heart valve dysfunction in the intensive care setting.

Lecture

Quiz

"*" indicates required fields

Name*
1. Which of the following is true regarding aortic stenosis?*
2. Which of the following can be detrimental in severe aortic regurgitation?*
3. Which of the following would decrease coronary perfusion pressure?*
4. When is the highest risk of papillary rupture in patients that are post myocardial infarction?*
5. Treatment of hypotension should be avoided in patients with severe aortic stenosis.*
6. Which of the following medications will worsen aortic regurgitation?*
7. A patient arrives post myocardial infarction 4 days ago. Which of the following would increase the index of suspicion for papillary muscle rupture?*
8. Mortality significantly increases when patient’s become symptomatic in mitral stenosis.*
9. Systolic function may suffer after a mitral valve replacement for severe mitral regurgitation.*
10. Which of the following is not a symptom of aortic stenosis*

Pacemakers and ICD’s

*Please take the quiz below the video to receive credit.

Objectives

  1. Compare and contrast implanted pacers and ICDs and the indications for each.
  2. Describe pacing nomenclature and various modes of pacing
  3. Recognize common pacer complications and appropriate management of those complications
  4. Describe how to appropriately set-up and test a temporary pacer

Articles

Mastering Temporary Invasive Cardiac Pacing

Lecture

Quiz

Cardiac Pacing

Pulmonary Hypertension

*Please take the quiz below the video to receive credit.

Objectives

  1. Understand the definition of pulmonary hypertension and how the different classification of types differentiate from each other
  2. Describe physiological impacts of pulmonary arterial hypertension and factors that can precipitate clinical decompesation
  3. Understand therapies available when managing a critically ill patient with existing pulmonary arterial hypertension verses other types of pulmonary hypertension

Articles

Lecture

Quiz

Pulmonary Hypertension

Right Heart Dysfunction

*Please take the quiz below the video to receive credit.

Objectives

  1. Describe common causes along with signs and symptoms of right heart failure
  2. Review treatment strategies for right heart failure and how they differ from those of left heart failure
  3. Define pulmonary hypertension and discuss commonly utilized treatment strategies
  4. Describe the effect of pulmonary hypertension on right ventricular function

Articles

Lecture

Quiz

Right Heart Dysfunction

Temporary Pacing in the ICU

*Please take the quiz below the video to receive credit.

Objectives

  1. Provide an overview of the wires and the pacing box
  2. Describe the various pacing modes available for temporary pacing.
  3. List the risks of temporary cardiac pacing.
  4. Describe how you can use temporary pacing to augment cardiac output, prevent post-operative atrial fibrillation, provide rapid atrial pacing, and perform cardiac resynchronizatin therapy.
  5. Recite the procedure for performing atrial electrograms.
  6. List the procedure for transcutaneous pacing, transvenous pacing, pace-port swan pacing, and esophageal pacing
  7. Describe steps for troubleshooting problems with temporary pacemakers.

Articles

Temporary cardiac pacing

Lecture

Quiz

Temp Pacing

EvaHeart Lectures

Clinical Management Master Training

System Components Overview

A. Fib

*Please take the quiz below the video to receive credit.

Lecture

Quiz

A. fib

HOCM & Septal Myectomy

*Please take the quiz below the video to receive credit.

Lecture

Quiz

"*" indicates required fields

Name*
1. HOCM is the thickening of?*
2. Which of the following patients is most likely to experience atrial fibrillation?*
3. A patient will have a higher risk of CHB after a septal myectomy if this is pre-existing?*
4. Systolic Anterior Motion involves which valve?*
5. HOCM can lead to obstruction of?*
6. What kind and where will you hear a murmur with HOCM patients?*
7. A rest gradient equal to or greater than __ is recognized with hemodynamic instability for LVOTO patients.*
8. The most widely used outpatient medication for HOCM is:*
9. Which valve does the surgeon go through to perform the septal myectomy?*
10. How does an alcohol septal ablation improve HOCM?*

Thoracic Aortic Repairs

*Please take the quiz below the video to receive credit.

Lecture

Quiz

"*" indicates required fields

Name*
1: Where do most Thoracic dissections originate?*
2: Aortic Dissection is caused by a tear in the aortic intima.*
3: What is the most common presentation of an Aortic Aneurysm?*
4: A Type II Dissection involves the:*
5: What are the typical SBP and HR goals of an acute aortic dissection?*
6: What is utilized in the OR to decrease cerebral oxygen use during aortic arch debranching?*
7: Which of the following procedures is considered a valve sparing procedure?*
8: Type A Dissections are considered a surgical emergency.*
9: All Type B Dissections are considered a surgical emergency. True/False*
10: Which of the following procedures involves a valve conduit?*