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High - Risk Surgical - Coggle Diagram

- - - - High risk
      - IHD
      - CCF
      - UEs - creat >176
      - Previous insulin
      - Stroke
- - - - <11ml/kg/min
      - lactate and metabolic acidosis
    - - increased in minute ventilation (VE)
      - For a given C02 output (VC02)
      - Slope of >34 higher risk
    - - V02 <15 ml/kg/min (circa 4 METS)
      - High risk post cardiac surgery
  - - - Dobutamine
      - Myocardial perfusion scanning
      - Exercise tolerance test
    - - BNP
- - - - Obstructive
        
        FEV1;FVC 70%
      - Restrictive FEV1:FVC ratio >80% but fall in both
      - Mixed FEV:FVC <70%, reducation in RVC
    - - DLCO
        
        Increased
        
        Exercise
        
        asthma
        
        POlycythaemia
        
        Pulmonary haemorrhage
        
        Decreased
        
        Emphysema
        
        ILD
        
        Anaemia