How would you do this case?

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Had a similar case except for Brain herniation from bleed. 90 yo w Ef 10 percent with severe Mr, TR, phtn. Moderate AR. Pro bnp 20K. Did pre induction art line then etomidate, fent , roc, tube . Maintenance on iso
 
Had a similar case except for Brain herniation from bleed. 90 yo w Ef 10 percent with severe Mr, TR, phtn. Moderate AR. Pro bnp 20K. Did pre induction art line then etomidate, fent , roc, tube . Maintenance on iso
Holy crap! Did that patient make a meaningful recovery?
 
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