call1agent

This one looks more like septic rather than cardiogenic. But not enough data. What's the PA and filling pressures? Is the patient dry (most likely not d/t high CO/CI). Also do you have an initial post-op ABG? Have they also ruled out correct placement of Swan Ganz? With those SVR and CO/CI numbers it did not make sense to me the addition of IABP as it could lower the afterload even more and increase CO/CI and may cause the BP to drop even more. I have seen this on prolonged exposure to heart and lung machine where they vasodilate badly and the addition of M. acidosis lowers the efficacy of your vasopressors. Given the nature of surgery and FLOD, I would have anticipated Methylene blue and addition of Levophed instead.

I forgot to mention I am a USA citizen and licensed here to practice.

Hello, Sopever. I am planning to move to Spain early next year 2017. I am looking at Barcelona Spain. I am not a Spanish speaker. I have a CCRN and a 10 year experience in cardiac surgery ICU. Is there any English speaking facility I can work in Barcelona that you can recommend? If so, how do I start the process of making it happen as far as paperwork needed. Thank you.