A 65-year-old man suffers a sudden fall in mean aerial pressure, 4 hours after his CABG surgery. Other findings include elevated JVP. What is the best next step in the management of this case?
This clinical presentation points towards a likely diagnosis of Cardiac tamponade. It is a common complication post CABG. It can be confirmed on an Echocardiography. It is a life-threatening condition hence it should be managed by immediate return to the OT for exploration and drainage of mediastinal hematoma.
PRBC Transfusion
Vasopressors along with the inotropes
Immediate re-exploration of the mediastinum
Intra-aoic balloon pump
Thorax And Mediastinum