Original Publication
Open Access

CHF from Diastolic Dysfunction in a Patient Presenting Preoperatively for an Elective Surgery

Published: July 15, 2008 | 10.15766/mep_2374-8265.736

Included in this publication:

  • Preoperative History and Physical.doc
  • CHF from Diastolic Dysfunction.doc
  • TURP.ppt
  • Preop CHF.ppt
  • Treating CHF.ppt
  • Debriefing CHF.ppt

To view all publication components, extract (i.e., unzip) them from the downloaded .zip file.

Editor's Note: This publication predates our implementation of the Educational Summary Report in 2016 and thus displays a different format than newer publications.


Introduction: This human patient simulation focuses on the preoperative evaluation, assessment, and treatment of a man presenting for a transurethral resection of the prostate (TURP). Methods: Presimulation material focuses the participants on the procedure and its anesthetic considerations, but the simulated patient is in congestive heart failure (CHF). Participants should recognize the condition, cancel the surgery, begin treatment, and arrange for long-term care follow-up. Results: This simulation has not yet been formally evaluated, but medical students who have performed this simulation 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). Discussion: This is a simple and enjoyable scenario that covers a common pathophysiology and an area of anesthetic care that is not often addressed in undergraduate or graduate medical education. The scenario could be performed with standardized patients, a METI or SimMan HPS, a Harvey Simulator, or a combination of all of them. Future directions include the assessment of several elements of competency addressed within this scenario.

Educational Objectives

By the end of this session, learners will be able to practice diagnosing, treating, and arranging long-term care for a patient who is in for an elective surgery but is in congestive heart failure.

Author Information

  • William McIvor, M D: University of Pittsburgh School of Medicine
  • Stephen Esper, M D: University of Pittsburgh School of Medicine
  • Amy Seybert, PharmD: University of Pittsburgh School of Medicine

None to report.

None to report.


McIvor W, Esper S, Seybert A. CHF from diastolic dysfunction in a patient presenting preoperatively for an elective surgery. MedEdPORTAL. 2008;4:736. https://doi.org/10.15766/mep_2374-8265.736