[HSF] ratio of ICU beds to cases

[Ani Anyanwu]

Ah...another American Code Ahmed - like I said US surgeons just cant call things by their real name! Txp means, I presume, transplant - it doesn't mean transposition, transparency, or transfer - and it is certainly not the code for some in post-operative  bed type unique to the US.

Ani
  ----- Original Message ----- 
  From: A<mailto:alsadd at ksu.edu.sa> 
  To: OpenHeart-L at lists.hsforum.com<mailto:OpenHeart-L at lists.hsforum.com> 
  Sent: Monday, April 16, 2007 1:41 PM
  Subject: RE: [HSF] ratio of ICU beds to cases


  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>
  [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<mailto: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<mailto: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<mailto:hgrmd at aol.com>>
  To: <OpenHeart-L at lists.hsforum.com<mailto: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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