Poll Archive Date: 04/01/2015 - 04/30/2015 Poll Results: in the Cardiac Intensive Care Unit. The patient underwent a Norwood procedure 24 hours ago and is considered to be ready for chest closure. The patient is receiving cefazolin around the clock for antibiotic coverage. The last dose of antibiotic was given 1 ½ hours ago. Would you, prior to surgical incision: A. Re-dose full dose - ( 67 votes ) B. Re-dose smaller dose - ( 30 votes ) C. Not re-dose, the patient should be covered. - ( 285 votes ) Date: 06/01/2015 - 06/30/2015 Poll Results: who is s/p Modified Blalock-Taussig Shunt now coming for a complete repair with a Right Ventricle-Pulmonary Artery conduit. On bypass, the patient receives a total of 2 units of Packed Red Blood Cells and 1 unit of Fresh Frozen Plasma. A Fibrinogen level drawn while on bypass reveals a level of 180 mg/dL. As you are preparing for separation from bypass would you, in addition to platelets, order the following to the operating room? 1 unit Cryoprecipitate - ( 133 votes ) 2 units Cryoprecipitate - ( 64 votes ) No Cryoprecipiate - ( 74 votes ) No Cryoprecipitate but have fibrinogen concentrate (eg. RiaSTAP) available for use. - ( 46 votes ) Date: 07/01/2015 - 07/31/2015 Poll Results: In March 2015, propofol was added to the CredibleMeds list of drugs with potential to cause Torsades de pointes. A 14yo patient with prolonged QT interval presents for an appendectomy. Would you avoid propofol in this patient? YES - ( 62 votes ) NO - ( 250 votes ) Don't Know - ( 26 votes ) Date: 09/01/2015 - 09/30/2015 Poll Results: What is your usual anesthetic plan for a routine cardiac catheterization in a 7 years old presenting for annual myocardial biopsy after transplant two years ago? a. General anesthesia with endotracheal tube and muscle relaxation - ( 94 votes ) b. General anesthesia with LMA and no muscle relaxation - ( 146 votes ) c. General anesthesia with propofol infusion - ( 35 votes ) d. Sedation by anesthesiologist - ( 33 votes ) e. Sedation by non-anesthesia provider - ( 9 votes ) Date: 10/01/2015 - 10/31/2015 Poll Results: Where is your preferred insertion site for a central venous catheter in a child presenting for a Bidirectional Glenn procedure? A. Internal jugular vein - ( 164 votes ) B. Femoral vein - ( 82 votes ) C. Femoral vein plus a small catheter in internal jugular vein - ( 36 votes ) D. Intracardiac line placed by the surgeon - ( 45 votes ) E. No central access - ( 12 votes ) Date: 11/01/2015 - 11/30/2015 Poll Results: What is the oxygenation strategy during cardiopulmonary bypass at your institution? normoxic (100-250mmHg) - 75% ( 197 votes ) hyperoxic (>250mmHg) - 25% ( 67 votes ) Date: 12/01/2015 - 12/31/2015 Poll Results: What is your first option for monitoring of coagulation after protamine administration in a bleeding child following cardiopulmonary bypass? Standard coagulation assays (e.g. PTT, INR) - ( 7 votes ) Activated clotting time (ACT) - ( 214 votes ) Visco-elastic test (e.g. TEG, ROTEM) - ( 40 votes ) No monitoring, transfusion based on clinical experience - ( 18 votes ) Date: 01/01/2016 - 01/31/2016 Poll Results: Who is responsible for obtaining consent for a Transesophageal Echocardiography (TEE) done during a cardiac surgical procedure? No separate consent. - ( 147 votes ) The anesthesiologist. - ( 62 votes ) The cardiologist. - ( 41 votes ) The surgeon. - ( 33 votes ) Date: 02/01/2016 - 02/29/2016 Poll Results: A 3kg neonate undergoing a coarctation repair off bypass, via a thoracotomy incision. What is your preferred method for postoperative pain control? Caudal block - ( 47 votes ) Paravertebral block - ( 34 votes ) Intercostal block - ( 57 votes ) Intravenous analgesia only - ( 80 votes ) Local infiltration by the surgeon - ( 87 votes ) Date: 03/01/2016 - 03/31/2016 Poll Results: A 3-kg neonate diagnosed with D-Transposition of the great arteries presents for an arterial switch operation. What is your strategy for venous access pre-CPB? One or more peripheral intravenous catheters - ( 90 votes ) Umbilical vein catheter - ( 50 votes ) Internal jugular vein catheter - ( 153 votes ) PICC line - ( 14 votes ) « Previous 1 … 5 6 7 8 9 … 12 Next »