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Adult STS Discharge Form UCLA Department of Surgery Surgery Medsch Ucla
Ventilation hours System Calculation Int date/time Ext date/time ICU Visit Yes No If Yes Initial ICU Hours ICU date/time Readmission to ICU Yes No If Yes Additional ICU Hours Time Date transfer order written Post Op Echo Performed to evaluate valve s Yes No If Yes Highest level aortic insufficiency found None Trace/trivial Mild Moderate Severe Not Reported Highest level mitral insufficiency found Highest level pulmonic insufficiency found None Trace/trivial Mild Moderate Severe Not Reported...
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