Cardiopulmonary Assessment in Morbidly Obese

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Cardiopulmonary Assessment in Morbidly Obese STEP 1 Very low cardiac and pulm risk Yes Proceed with surgery STEP 2 One risk for CAD or presence of stable CVD ECG • Sign of RVH: pulm HTN • LBBB: Occult CAD No • Abnormal pulm vascularity • Chamber enlargement • Heart failure Conside r ABGs CXR Poirier et al: Circulation 2009;120:86-95 If hypoventilation syndrome or other pulmonary conditions

description

Cardiopulmonary Assessment in Morbidly Obese. Very low cardiac and pulm risk. Proceed with surgery. STEP 1. Yes. No. One risk for CAD or presence of stable CVD. Sign of RVH: pulm HTN LBBB: Occult CAD. ECG. STEP 2. Abnormal pulm vascularity Chamber enlargement Heart failure. CXR. - PowerPoint PPT Presentation

Transcript of Cardiopulmonary Assessment in Morbidly Obese

Page 1: Cardiopulmonary Assessment in Morbidly Obese

Cardiopulmonary

Assessment in Morbidly Obese

STEP 1

Very low cardiac and pulm risk Yes Proceed with

surgery

STEP 2One risk for CAD or presence of

stable CVDECG

• Sign of RVH: pulm HTN• LBBB: Occult CAD

No

• Abnormal pulm vascularity• Chamber enlargement• Heart failure

Consider ABGs

CXR

Poirier et al: Circulation 2009;120:86-95

• If hypoventilation syndrome or other pulmonary conditions