[HSF] Re: [HSF ] OPCAB pitfall

[psimha]

My logic - use full heparin. That is what I learn't in microvascular 
surgery when I used to do finger reimplants etc (which are much smaller 
vessels than coronaries).
In fact we would reimplant and then start lomodex etc etc !!
Prasanna
Ani Anyanwu wrote:
> 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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