In the theater of cardiothoracic surgery, the anaesthesiologist is the pilot of a high-performance physiological engine. The difference between a routine bypass and a catastrophic incident is often found in the subtle trends of invasive monitoring and the precise titration of Anesth drugs. A practitioner who manages a complex "pump" case but fails to document the specific Incident or the transition in Monitoring data is performing a service without building the forensic evidence required for specialist certification.

The Philosophy of Surgical Auditing

The "Cardiac Anesthesia Log" is designed for the consultant or fellow who treats every surgery as a longitudinal study. It moves your case recording from vulnerable paper sheets to a structured, audit-ready digital dossier. By standardizing the capture of the MR (Medical Record) number and the specific Diagnosa, the system ensures that your professional portfolio is clinically precise. It acknowledges that in heart surgery, the Team performance is as critical as the individual skill of the physician.

The Blueprint: Intraoperative Intelligence

The structure of this library is built to handle the visual and textual density of cardiac medicine.

  • Evidentiary Multi-Layering: With three dedicated image fields (Image 1 to Image 3), you can capture pre-operative echocardiograms, intra-operative TEE (Transesophageal Echocardiography) loops, and post-operative ECGs. This allows for an immediate "before and after" comparison that is vital for peer review and research.
  • Pharmacological Depth: Separate fields for Anesth drugs and Other drugs (like inotropes or vasopressors) ensure that the complex cardiovascular strategy is documented with surgical precision.
  • Safety & Incident Mapping: The Incident field is the surgical "black box." It captures the reality of the theater—unexpected rhythm changes, bleeding, or hardware failures—ensuring that the final report is based on immediate observation rather than retrospective memory.

Usage Scenarios: The Post-Op Debrief

You are conducting a debrief after a difficult valve replacement. Instead of relying on a general impression, you open Memento and review the Monitoring notes and the New result captured during the bypass phase. You show the surgeon the Image 2 capture of the TEE finding that necessitated a change in tactic. The narrative is clear, the evidence is visual, and the Final notes provide a structured conclusion that can be synced directly to the patient's permanent record.

Power Feature: High-Speed Update Loop

The inclusion of an Update field allows for the capture of post-operative follow-up data (e.g., ICU status or discharge summary) within the original surgical entry. It turns a static intraoperative log into a dynamic lifecycle record, ensuring that your clinical milestones are always supported by forensic-grade evidence of the patient's entire journey through the cardiac suite.