[HSF] Aortic purse strings in thin large aortas.

[Nasser F. Abou'Seada]

Nice Grip Hal .... will try it .... seems softer than my poor man's way
"never thought that the same expression is used in different languages"
..... I do decannulate with my left hand .... pinching closing the aortic
cannulation site with my right thumb and index .... --Gripping the aorta by
the back of its neck !!- asking my assistant to prepare and tie the inner
purse -to his side- then I do mine ... 


NFA

> From: Hgrmd at aol.com
> Prasanna,
>   Excellent points on managing cannulation site bleeding.  The  only thing
I
> would add is my poor man's way to get temporary hypotension for  tying the
> pursestrings.  The "Ninja Death Grip" is where I pinch the IVC  between my
right
> index and middle fingers.  Over 30 seconds, the systemic  pressure will
drop
> down into the 60's.  I then release my fingers and  quickly tie the
> pursestrings before the pressure returns to normal in about 30  seconds.
Works well,
> and
> you don't have to deal with the residual  hypotension of NTG or nipride
when
> you no longer need it.
> Hal