[HSF] ratio of ICU beds to cases

[Tea Acuff]

Except in training I have never worked in a hospital with strictly dedicated cardiac ICU beds or PCU. Or as soon as it was discovered, it soon changed. 
tea


----- Original Message ----
From: "gammie at comcast.net" <gammie at comcast.net>
To: OpenHeart-L at lists.hsforum.com
Sent: Tuesday, April 17, 2007 11:34:13 AM
Subject: RE: [HSF] ratio of ICU beds to cases


Thank you Tony;
I am interested in specific numbers from the forum members, so i can make a fact-based presentation that
supports more resources...  thanks guys
jsg
-------------- Original message ----------------------
From: "Tony Furnary" <tfurnary at starrwood.com>
> Txp = Transplant
> 
> 
> -----Original Message-----
> From:    A [mailto:alsadd at ksu.edu.sa]
> Sent:    Mon 4/16/2007 10:41 AM
> To:    OpenHeart-L at lists.hsforum.com
> Cc:    
> 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] 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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