... operation. Postoperatively, (in recovery) he developed respiratory failure and became cardiovascularly compromised; with Arterial blood pressure (ABP) of 65/35(45) mmHg, Central Venous Pressure (CVP) 15 mmHg, temperature was 38 [°C], respiratory rate of 35 breath /minute. Arterial Blood Gases (ABG) read as follows; FI02: 60%, PH: 7.2, PC02: 9.5kpa, PO2: 7.2kpa, HC03: 26.0mmol/l, Base excess: -1.4, K+ 4.3mmol/l, S02: 84%, HB: 8.6g/dl, NA: 130mmol/l. He was cardiovascularly supported with Noradrenaline at 18mcg /minute and Dopexamine at 0.5mcg /kg/minute, he was intubated and mechanically ventilated, and transferred to our intensive care unit for Postoperative management. Thirty minutes after his admission to our ICU, Pulse contour cardiac output (PiCCO) machine was used to ensure accurate monitoring and assessment of his haemodynamic status in order to guide Noradrenaline rate and to make further assessments on his cardiovascular status. The first PiCCO flow studies was performed by one of our Consultants Anaesthetist and read as ...

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