[HSF] Re: [HSF ] OPCAB pitfall

[nand kejriwal]

Ani

I aim to keep ACT > 250 and I find half dose haparin does that in most of
cases. I rarely have to give protamine.

It appears from the responses that most of you use full dose. Obviously,
there have not been problems with that.I shall try full dose next time.

Nand

On 2/3/07, Ani Anyanwu <anianyanwu at hotmail.com> 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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