81 YEAR OLD PATIENT COMES IN THE ER WITH AFIB VTACH HEART RATE AROUND 150-170 AND WAS DIAGNOSED WITH ISCHEMIC BOWEL TRANSFERED TO OPERATING ROOM HOLDING AREA WITH VTACH AND STABLE BP
MY ARGUMENT WAS TO COMPLETE THE DIGOXIN TREATMENT (.5MG WAS GIVEN IN ER AND THEN PATIENT WAS SENT OT OPERATING ROOM HOLDING AREA )AND CONTROL THE HEART RATE BEFORE TAKING PATIENT TO OPERATING ROOM FOR SURGERY BUT CHAIR OF ANESTHESIA WAS ADAMANT TO TAKE THE PATIENT FOR SURGERY . I TOOK MY TIME COMPLETING THE DIGOXIN TREATMENT AND BRINGING THE HEART RATE TO 120,S AND TOOK THE PATIENT TO SURGERY, IT WAS SUCCESS AND LATER IN RECOVERY ROOM PATIENT HEART RATE CAME DOWN TO 91.
MY QUESTION TO EVERYBODY IS HOW DO YOU WEIGHT THE CHEIF OF ANESTHESIA RESPONSE WHO HAPPEN TO CMO OF HOSPITAL AS WELL .
MY ARGUMENT WAS TO COMPLETE THE DIGOXIN TREATMENT (.5MG WAS GIVEN IN ER AND THEN PATIENT WAS SENT OT OPERATING ROOM HOLDING AREA )AND CONTROL THE HEART RATE BEFORE TAKING PATIENT TO OPERATING ROOM FOR SURGERY BUT CHAIR OF ANESTHESIA WAS ADAMANT TO TAKE THE PATIENT FOR SURGERY . I TOOK MY TIME COMPLETING THE DIGOXIN TREATMENT AND BRINGING THE HEART RATE TO 120,S AND TOOK THE PATIENT TO SURGERY, IT WAS SUCCESS AND LATER IN RECOVERY ROOM PATIENT HEART RATE CAME DOWN TO 91.
MY QUESTION TO EVERYBODY IS HOW DO YOU WEIGHT THE CHEIF OF ANESTHESIA RESPONSE WHO HAPPEN TO CMO OF HOSPITAL AS WELL .