[HSF] Posterior aortic bleed

[Nasser F. Abou'Seada]

Amen .... 
I agree it is a very tricky technique .... can spare lives in desperate
critical situations ..... still I agree with John that one can avoid such
critical situations should he be aware of the possibility of their
occurrence ...... 
Thank you John for your kind elaboration ..... a new technique "?? John
Flege Technique ???" for critical armamentarium. .... Hal .... I share your
hope .. 

NFA 

> From: hgrmd at aol.com
> John,
>   Thanks for the clarification.  I will keep this technique in my quiver.
Hope I never
> need it.
> Hal
 
> From: Jbflegejr at aol.com
> Hal, I mean mitral annulus. I agree that such bleeding usually will stop
with
> Protamine and enough time and that is when packing comes in handy. However
I
> am reluctant to come off bypass and give Protamine when there is
"surgical"
> bleeding, especially behind the aortic root. With time I have learned to
avoid
> for the most part this kind of bleeding. I have been called by other
surgeons a
> couple of times to help out and solved the problem by diverting the
bleeding
> into the left atrium. John