Frequently Asked Questions

Question

Treating pre-op anemia with IV iron?

Question

We are inquiring if any other cardiac surgery programs are including SGLT-2 in the post op CABG/HF patient population. We are exploring adding this to our pathway for this patient population

Question

1. How does your hospital handle elective CABG pts with elevated HgbA1C above 7 or glucose out of control?
2. Our surgeon wants to admit elective pts the night before surgery for an insulin GTT. Is this common practice at your institution?
3. Also, for urgent cases is anything done?

Question

When will the fix to the Prolonged Vent will be in the next release?
There is a glitch, and it shows up as missing even if you say NO to post op events. We are NOT supposed to fill it in as NO, but we need to leave it missing.

Question

If a patient is admitted for ACS, has a cardiac cath with no PCI options available, and is then deemed a surgical
candidate, are they discharged home to wait on surgery if they are stable, or remain inpatient until surgery
can be completed on that admission?

Question

What pre-op cardiac surgery education videos or tools do you utilize within your centers?

Question

When will the fix to the Prolonged Vent will be in the next release?
There is a glitch, and it shows up as missing even if you say NO to post op events. We are NOT supposed to fill
it in as NO, but we need to leave it missing

Question

My surgeon placed an Impella 5 L open insertion into the aorta for procedural support for a patient who had an AVR and CABG. He was under the impression from the people at the Impella course that this would drop the patient out of the CABG/AVR risk model. However, it does not when I enter the patient into the software with the Impella in the cath assist device (even though it was into the aorta but same difference I guess, no matter how you put it in?)

I visited our handy Proc Id chart and don't see Impella or any cath assist devices as part of the proc id chart.

Should the 5-liter Impella drop the patient out of the model. My surgeon was told that it would?

It would drop if I chose the VAD (Impella is listed in the VAD pick list but maybe that's an accident?) but the intention of that field is for durable VADs from reading the TM.

Question

1. Setting for their TAVR procedures – Do they conduct TAVRs in a hybrid OR, hybrid cath lab, or just cath lab?

2. Teams question – With a surgeon present, do they also have members of the surgical team in TAVRs? (OR surg tech, OR RN, OR SA?) Or do they just use cath lab team members? We have been getting this question a lot lately

Question

We have a patient with prior Left Vertebral Occlusions with distal reconstruction. the TM says we
can count vertebral disease in the CVD section. Could the vertebral reconstruction count as a prior CV surgery?
She seems like she was definitely higher risk but wanted to check with you about counting the vertebral
reconstruction as a prior carotid surgery. I have always assumed that the carotids were NOT like the
coronaries...where...once occluded, always occluded? "Left subclavian artery stent, L vert occlusion with distal
recon,"
her carotids were clean by duplex study:
Right Carotid The right mid CCA is normal.
The right middle ICA is minimally to mildly stenosed (<39%).
The right ECA is normal.
The right vertebral flow is antegrade.
The right subclavian artery is triphasic.
Left Carotid The left middle CCA is minimally to mildly stenosed (<39%) with moderate homogeneous/
calcified plaque noted.
The left proximal ICA is minimally to mildly stenosed (<39%) with calcified plaque noted.
The left ECA is normal.
The left vertebral artery flow is antegrade.
The left subclavian is triphasic