Cardiac Contusion
Last modified: 12 December 2021, 6:48:19 PM AEDT
Gems / Priorities1 / 5
- caution
- cardiogenic shock, arrhythmias
- RSI + HDI
- operative management of other injuries
Complications2 / 5
- Early
- arrhythmias
- myocardial rupture
- valvular damage
- thrombosis
- Late
- ventricular aneurysm
- dilated CM
- pericarditis
- ventricular arrhythmias
Management3 / 5
- ABCD
- Trauma = suspect other / occult injuries
- Determine extent of myocardial injury
- troponin + ECG + echo
- Manage cardiogenic shock
- invasive monitoring
- fluid resuscitation
- inotropes
- IABP
Anaesthetic considerations4 / 5
- Pre-op
- Intra-op
- beware HDI with RSI
- Post-op