[HSF] Retrograde cardiolegia- delivary by gravity

[prasannasimha]

If you need gravity you will need to keep it around 40 cms above the 
patient !!
Frankly I have seen this happen due to "rough" handling by impatient 
senior "untrainable" surgeons.
Prasanna
james le wrote:
> A  senior surgeon in our hospital does not want to use retrograde cardioplegia in view of the potential risk of coronory sinus injury.
>    
>   We were thinking about using retrograde cadioplegia delivered by gravity pressure with out using a pumphead or pressurised bag so that the risk of  coronory sinus injury could be furhther minimised.
>   Could it  be effective ?[assuming that the delivary duration would be prolonged to compensate for lower pressure]
>   This is considered in additon to antegrade cardioplegia [not simultaneously].
>
>  
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