Glossary entry

English term or phrase:

fast, full, forward

English answer:

shorthand for anethesia requirements with heart valve disease patients

Added to glossary by Stephanie Ezrol
Nov 27, 2010 11:25
13 yrs ago
English term

fast, full, forward

English Medical Medical (general)
Heart Valve Disorders

Aortic Regurgitation
Fast, full, forward.

*Maintain normal to slightly incr heart rate....

Mitral Stenosis
Full, slow, constricted.
Change log

Dec 2, 2010 12:38: Stephanie Ezrol Created KOG entry

Responses

+3
51 mins
Selected

shorthand for three following guidelines

I believe your author is using the three words: fast, full, forward as a shorthand for the nurse anesethiologist to remember the three critical parameters to be used with a patient with this type of heart valve disease.

The following description of the disease also know as aortic insufficiency and aortic valve prolapse is helpful in this regard:
https://health.google.com/health/ref/Aortic insufficiency


Peer comment(s):

agree Filippe Vasconcellos de Freitas Guimarães : Yes, it's a mnemonic for the "anesthetic goal", refers to a host of choices related to use of pressors, fluid volume... "[Keep the heart] fast, full, and loose" is more common... for stenosis, "full, slow, and tight".
9 hrs
Thanks !
agree Michael Barnett : For explanation see AR section of http://www.cucrash.com/Handouts04/AnesValHeartRamsay.pdf
17 hrs
Thanks Michael!
agree Phong Le
1 day 7 hrs
Thanks Phong Le !
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4 KudoZ points awarded for this answer.

Reference comments

10 hrs
Reference:

"full, fast, loose" vc. "full, slow, tight"

"A rule of thumb for valve disease is that stenotic lesions are kept 'slow and tight', while regurgitant lesions are kept 'fast and full'. This means you will avoid excessive volume loading to avoid pulmonary edema, peripheral vasodilation to avoid hypotension and compensatory increases in heart rate, and tachycardia..."
http://is.gd/hSYOP

Excellent overview here:
http://www.icuadelaide.com.au/files/icu_notes/maternal_neona...
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