[HSF] "Patients don't want cardiopulmonary bypass" - the great con

[Prasanna Simha M]

I would like to know one thing that is physiological  wrt to cardiopulmonay
bypass ?
Prasanna

On Dec 22, 2007 3:14 PM, <NielsB at aol.com> wrote:

>
> This discussion is always interesting. I must again   one of the many
> excellent quotes of my   great friend and previous partner in Buffalo:
>
> "Why do people feel so safe when they enter an airplane? Because the pilot
> goes with you, and he would probably not go if the plane was unsafe.
> But when the cardiac surgeons say: we are going on pump it is not exactly
> true, because the surgeons does not go on pump himself, only the patient"
>
> Of course it does not mean that the pump is   a priori bad, sometimes we
> need
> it sometimes not, it is a tool and an important one some times.
>
> We should not be so fixed on this issue any more, but also not ignore the
> issues. As the previous writer said, maybe a couple of hours on the pump
> will
> rejuvinate the brain. Of course that is   a joke as far as we know,
> because I
> really dont find much evidence that the brain is better with than without
> pump.
> Most sudies show that   cognitive functions etc are worse or equal with
> pump
> not better.
>
> So maybe   most patients do not understand all this things, but as
> surgeons
> maybe it   is our responsibility to use the tool when it is indicated and
> necessary, and in my opinion in CABG it is not usually required.
>
> Jacob Bergsland
>
>
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-- 
Prasanna Simha M