[HSF] Re: [HSF ] OPCAB pitfall

[Ani Anyanwu]

Nand

What is the logic for using half dose heparin - I have never quite understood it? Also what is the scientific basi for such a practice? I believe it spins from vascular surgery but they are using much bigger tubes. How do you control for adequate anticoagulation (what ACT etc?). What do you see as the disadvantage of 'full' heparinization?

Thanks

Ani
  ----- Original Message ----- 
  From: nand kejriwal<mailto:nkkejriwal at gmail.com> 
  To: OpenHeart-L at lists.hsforum.com<mailto:OpenHeart-L at lists.hsforum.com> 
  Sent: Friday, February 02, 2007 6:12 AM
  Subject: Re: [HSF] Re: [HSF ] OPCAB pitfall


  He also gave half dose heparin.

  Ani

  I use half dose dose heparin and do nor reverse unless bleeding is a problem
  in ICU. Do all OPCAB surgeons use full dose (3-4mg/kg) heparin ?

  nand
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