[HSF] ratio of ICU beds to cases

[A]

Tony:
What do you mean by Txp?
Thanks 

Ahmed

-----Original Message-----
From: openheart-l-bounces at lists.hsforum.com
[mailto:openheart-l-bounces at lists.hsforum.com] On Behalf Of Tony Furnary
Sent: Sunday, April 15, 2007 11:22 PM
To: OpenHeart-L at lists.hsforum.com
Subject: RE: [HSF] ratio of ICU beds to cases

1200 Cases / 16 beds / no Txp


-----Original Message-----
From:	James S Gammie [mailto:gammie at comcast.net]
Sent:	Sun 4/15/2007 6:28 PM
To:	OpenHeart-L at lists.hsforum.com
Cc:	
Subject:	[HSF] ratio of ICU beds to cases

Forum:
We have recently cancelled cases due to lack of ICU bed availability;
am interested in benchmarks for cardiac surgery volume:  how many ICU 
beds/telemetry beds do you have for how many cases?
do you do vads/txs?
tx
jim gammie
----- Original Message ----- 
From: <hgrmd at aol.com>
To: <OpenHeart-L at lists.hsforum.com>
Sent: Sunday, April 15, 2007 10:29 AM
Subject: [HSF] Management of Postop Clotted Hemothorax


> Dear Members,
>  Last Thursday, I operated on a 47 yo man with severe bicuspid aortic 
> stenosis, 5.2 cm ascending aorta with dilated sinuses, LAD dz, and PAF. 
> Interestingly, at age 6 he had an open aortic valvotomy at Miami 
> Children's. At his insistence, I did a biologic Bentall with a 23mm 
> Perimount sewn to a 28mm Hemoshield, LIMA to the LAD, and a cryomaze. 
> Fresh off CPB, I noticed progression of preop mild MR to 3+ MR. 
> Hemodynamics were marginal, so I went back in and repaired the mitral with

> a 26 mm Cosgrove.  He then came off easily, the post-CPB TEE showed no MR 
> with an EF of 70%, didn't seem to bleed, and was extubated the next day. 
> Unfortunately, the postop CXR revealed a sizable left hemothorax.  It 
> appeared to occupy about half the chest. I placed a chest tube, but it 
> really didn't drain much.  He currently is saturating well on 3 liters 
> nasal cannula.  My question is:  Does anyone have good experience with 
> instilling streptokinase or urokinase up the chest tube in order to lyse
>  the clot?  If so, what is the protocol.?  Should I just take him back and

> clean out the left side?
>
> Hal
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