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Surgery Thorax And Mediastinum a95598c5

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?

A
PRBC Transfusion
B
Vasopressors along with the inotropes
C
Immediate re-exploration of the mediastinum
D
Intra-aoic balloon pump
High-Yield Explanation
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.

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