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Title:
CHF from Diastolic Dysfunction in a Patient Presenting Preoperatively for an Elective Surgery
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MedEdPORTAL ID#:
736
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Version:
1
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Resource Type:
Simulation
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Description:
This human patient simulation focuses on the preoperative evaluation, assessment and treatment of a man presenting for a TURP. Pre-simulation material focuses the participants on the procedure and its anesthetic considerations, but the simulated patient is in congestive heart failure. Participants should recognize the condition, cancel the surgery, begin treatment, and arrange for long term follow up. Several elements of competency can be assessed in this scenario.
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Author Institution:
University of Pittsburgh School of Medicine
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Primary Author:
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William R. McIvor, M. D.
University of Pittsburgh School of Medicine
C 222; Presbyterian University Hospital
200 Lothrop Street
Pittsburgh,
PA
15213
USA
412 647-3262
mcivorwr@anes.upmc.edu
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Other Authors:
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Stephen
Esper, M. D.
University of Pittsburgh School of Medicine
espesa@upmc.edu
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Amy
Seybert, Pharm.D.
University of Pittsburgh School of Medicine
seyberta@upmc.edu
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Resource File(s):
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Download File: MEP_736_1 / 1059.0 KB
- This resource is comprised of multiple files that have been zipped into a single file for quick and easy download.
- Click on the above link to download the resource as a ".zip" file.
- To extract the ".zip" file you must have decompressing software installed on your computer which is available for free from any of the following sites:
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Additional Resource File Information:
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1 .zip file containing the following resources:
1. Preoperative_History_and_Physical.doc
2. CHF_from_Diastolic_Dysfunction.doc
3. TURP.ppt
4. Preop_CHF.ppt
5. Treating_CHF.ppt
6. Debriefing_CHF.ppt
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AAMC Hot Topics:
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Content Last Updated:
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| 07/17/2007 |
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Specialty/Discipline:
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Medicine: Anesthesiology
Medicine: Clinical Exam
Medicine: Clinical Sciences Assessment
Medicine: Continuing Medical Education
Medicine: Graduate Medical Education
Medicine: Intro to Clinical Medicine/Clinical
Medicine: Pathophysiology
Medicine: Physical Diagnosis
Medicine: Physiology
Medicine: Radiology
Medicine: Skills/Doctoring
Medicine: Surgery
Medicine: Undergraduate Medical Education
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Educational Objectives:
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1.) To diagnose the patient's medical condition: place basic monitors, perform history and physical exam, order chest x-ray and ECG.
2.) To treat the patient: Administer O2, BP control, and furosemide.
3.) To cancel the surgery: discuss with urologist and patient, notify OR staff.
4.) To arrange long term care: discuss with primary care physician.
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Resource Keyword/Symptom:
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Preoperative Evaluation
CHF
Heart Failure (MeSH)
Preoperative Care (MeSH)
Patient Simulation (MeSH)
Radiology
Anesthesiology
Clinical Exam
Clinical Sciences Assessment
Continuing Medical Education
Graduate Medical Education
Surgery
Undergraduate Medical Education
Physiology
Physical Diagnosis
Pathophysiology
Intro to Clinical Medicine
Doctoring
Skills
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Accreditation Council for Graduate Medical Education (ACGME) Competencies Addressed:
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Patient Care
Medical Knowledge
Practice-Based Learning and Improvement
Interpersonal and Communication Skills
Professionalism
Systems-Based Practice
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Intended Learner Audience:
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4th Year Medical/Dental Students
Medical Fellows
Medical/Dental Residents
Continuing Medical/Dental Education (CME) for Faculty Self Learning
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Intended Faculty Audience:
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Clinical Science Faculty
Clerkship Director / Clinical Science Course Director
Residency Program Directory
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Content Suitable to Patient Education:
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| Yes |
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Effectiveness and Significance of Publication:
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| The significance is the simulation covers a common pathophysiology and an area of anesthetic care that is not often addressed in undergraduate or graduate medical education. The effectiveness has not been evaluated. |
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Special Implementation Requirements or Guidelines:
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| The scenario could be performed with standardized patients, a METI or SimMan HPS, with a Harvey Simulator, or a combination of all of them. |
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Lessons Learned:
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| This is a simple and fun scenario. Though simple, medical students who have performed it enjoy it tremendously and report learning important fundamental lessons about being a physician (i.e. performing a thorough and adequate work up on their own without being biased by prior assessments). |
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Publications, Presentations, and/or Citations For This Publication:
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| None. |
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Sponsorship (Funding Source):
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| None. |
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Publication Contains Time-Sensitive Biomedical Content:
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| Yes |
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Citation Formats:
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NLM:
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McIvor W , Esper S, Seybert A,
CHF from Diastolic Dysfunction in a Patient Presenting Preoperatively for an Elective Surgery. MedEdPORTAL;
2008.
Available from: http://services.aamc.org/30/mededportal/servlet/s/segment/mededportal/?subid=736
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APA:
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McIvor, W., Esper, S., Seybert, A.,
(2008).
CHF from Diastolic Dysfunction in a Patient Presenting Preoperatively for an Elective Surgery. MedEdPORTAL:
http://services.aamc.org/30/mededportal/servlet/s/segment/mededportal/?subid=736
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