Clinical Case Summary: 74-Year-Old Male Post-CABG

The 74-year-old male patient underwent CABG and EVH on June 18, 2026, requiring mechanical ventilation in the SICU. He was successfully extubated by June 19 and transitioned to nasal cannula oxygen. Throughout the recovery, he was maintained on various infusions including Sinora, Milrinone, Isoket, Lasix, and Novarapid, with vasopressors and inotropes being gradually tapered by June 22.

As of June 24-25, the patient developed symptoms of dyspnea, chest tightness, and audible wheezing. By June 27, medical teams observed groin edema and initiated IV Meronem and Solucortef. Blood cultures have been requested to investigate potential infection, and the patient continues to receive Feshubin enteral feeds under cardiac monitoring.

The primary cost drivers for this admission include the CABG surgery, mechanical ventilation, intensive care pharmacological management, and an extended stay in the ICU. Current case management priorities include reviewing the admission pressure chart, monitoring blood culture results, and confirming the commencement timeline for antibiotic therapy.