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Final clinical long case 20

Created: 23/5/2007
A male in his 60s presents with a strangulated hernia for urgent surgery. He has known atrial fibrillation (AF) and hypertension. He has not been taking his medication. His ECG shows fast AF (150 bpm), with ischaemic changes. There are mild signs of heart failure on the chest X-ray. He is asymptomatic.

1. Discussion his preoperative optimisation.
2. Discuss his anaesthetic management.

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