[HSF] Reclacitrant sternal bleeding

[Nasser F. Abou'Seada]

Prasanna: 
I quite agree with you ....
if you are not prepared for the small little "rare" things .... you are
likely to get your feet into one of them. 

NFA

> From: prasannasimha
> Well this may be a rare problem but if you face it where do you go to
> get advice ?
> I (and others)  have made no bones about the fact that this is a rare
> occurrence.
> Unfortunately the rare complications are rare enough that it doesn't
> happen often, least documented  and when it occurs we don't have much to
> fall back onto.
> Now if you ever face it you know were to go to to check out if you have
> used all options.
> Fact is that many people did respond to it and if it can happen to me it
> can happen to you too ,some time, some place and some where when you
> least expect it. (Sorry for ripping of the Candid Camera statement) .
> When and were will be unpredictable but statistics have a queer way of
> catching up sometime in our practice.
> If we think we are immutable - well sometime down the line we slowly
> wake up to reality.
> Prasanna
> 
> Ani Anyanwu wrote:
> > Please pardon my ignorance and inexperience, but am I alone in thinking
this
> thread is a bit of an overkill? Do patients really die of sternal
hemorrhage with a
> frequency sufficient that we need elaborate methods of solving it or is it
a rare one in
> a million occurrence? Surely there are many more fatal problems we can
discuss that
> kill our patients on a daily basis?
> >
> > I would be keen to know from experienced surgeons if they have seen this
problem
> before and how many times in their career. Certainly I have never seen nor
heard of it
> till now, but I have only a limited experience.
> >
> > Thank you
> >
> > Ani