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Contents
- History and examination
- ECG and CXR
- Duplex of aorta, CT abdomen +/- fem angio
- Bloods FBC, U&E, GXM for 10 units, Coag screen, LFT and ABG
- Cardio-respiratory assessment
- Cardiology consult
- Have ECG, CXR, +/- ECHO and Holter, cardiac
medications and cardiac enzyme profile available at the time of consult. However, do
not arrange a MUGA scan the day before theater as patient will be radioactive
ie. no MUGA
24 hours preop
- Pulmonary consult
- Pulmonary function tests to check lung
function, gas transfer. CXR, +/- ABGavailable on the ward
- Inform patient and family of risks, recording these on consent form and
notes, see 11.1.3.
- Pre and post operative chest physiotherapy
- Inform ICU of necessity to have a bed available after theater
- May need Optimization with ACEI / Ventolin/Atrovent nebulisers.
Adrian P. Ireland