Dr. Trina Augustin, an assistant professor specializing in anesthesiology and emergency medicine, dives into the complexities of aortic stenosis. She discusses innovative ultrasound techniques for diagnosis and emphasizes the importance of early consultation for optimal patient care. The conversation reveals critical strategies for fluid management and vasopressor use in decompensated patients, as well as insights on managing atrial fibrillation. With a blend of humor and expertise, this discussion showcases the intricacies of cardiac emergencies and enhances understanding of this serious condition.
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volunteer_activism ADVICE
Use Ultrasound for Fluid Decisions
Use lung ultrasound to rapidly assess for B lines and pulmonary edema in patients with shock symptoms.
Tailor fluid resuscitation according to findings on ultrasound and clinical presentation.
volunteer_activism ADVICE
Recognize Severe Aortic Stenosis
Learn to recognize severe aortic stenosis on simple B-mode ultrasound views in the emergency department.
Look for calcified, immobile aortic valve leaflets to identify critical stenosis early.
volunteer_activism ADVICE
Gentle Fluids and Early Vasopressors
Give small fluid boluses while closely monitoring for pulmonary edema in aortic stenosis septic patients.
Start vasopressors early, especially norepinephrine, to maintain coronary perfusion pressure without causing tachycardia.
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Dr. Trina Augustin, assistant professor of both anesthesiology and perioperative medicine as well as emergency medicine takes us on a deep dive into the care of persons with aortic stenosis. In this chapter, Alex and Venk learn about how to use ultrasound to diagnose AS, the keys to resuscitation, the pathophysiology of this condition, as well as the value of consultative services and the potential interventions that they may unlock for these patients. Kickoff season 4 with this in depth reminder that sometimes the heart has many hidden perils beyond ACS.
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