How to Manage Hemodynamic Goals in Patients With Valve Pathology

Studies have shown that using an anti-fibrinolinic such as TXA or amacar immunocoproic acid will result in less bleeding and less use of blood products post surgery. These patients tend to get hyperglycemic with the stress of surgery and also increased catecholamines Both intrinsic and what we give on the pump. Vigilant glucose control our goal is usually a glucose of 140 to 180 have better outcomes less infection Following surgery great. All right So Let's go back a minute to the different physiology you mentioned looking at vow patients with valve pathology versus just pure coronary artery disease. What are the kind of major hemodynamic goals you have in mind during your management