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

[Ani Anyanwu]

And having your heart lifted out of the chest beating upside down is physiological? The sometimes promoted notion that off-pump surgery is physiological is part of the great con - I would like to know one thing about general anesthesia, or being operated upon that is physiological. Let us not pretend there is anything normal about having one's heart operated upon - which ever way you dress it heart surgery is a big insult to the body.
 
Again I say there may be benefits to avoiding CPB but let us not pretend the patient's desire is what is driving this.
 
In response to comments on Dr Sergeant's excellent results - I put it to you that if he were to adopt his entire system and change only one thing - start using CPB - his results would be exactly the same. His results are a marker of good surgery, sub-specialization (my understanding is that his practice is almost entirely CABG), and good systems management and not off-pump surgery.
 
Ani



> Date: Sat, 22 Dec 2007 15:54:30 +0530> From: prasannasimha at gmail.com> To: OpenHeart-L at lists.hsforum.com> Subject: Re: [HSF] "Patients don't want cardiopulmonary bypass" - the great con> CC: > > 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> >> >> > **************************************> > See AOL's top rated> > recipes (http://food.aol.com/top-rated-recipes?NCID=aoltop00030000000004)> > _______________________________________________> > OpenHeart-L mailing list> >> > Send postings to:> > OpenHeart-L at lists.hsforum.com> >> > To UNSUBSCRIBE, to CHANGE email address, or to view archives:> > http://mmp.cjp.com/mailman/listinfo/openheart-l> >> > All messages transmitted by the OpenHeart-L are subject to the policies> > and> > disclaimers posted at:> > http://www.hsforum.com/listdisclaim> > -----------------------------------------> >> > > > -- > Prasanna Simha M> _______________________________________________> OpenHeart-L mailing list> > Send postings to:> OpenHeart-L at lists.hsforum.com> > To UNSUBSCRIBE, to CHANGE email address, or to view archives:> http://mmp.cjp.com/mailman/listinfo/openheart-l> > All messages transmitted by the OpenHeart-L are subject to the policies and > disclaimers posted at:> http://www.hsforum.com/listdisclaim> -----------------------------------------
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