[HSF] acute aortic insuffiency dure to BE

[rwmfglycar at aol.com]

The two times this accident happened to my patients, (one right subclavian, one innominate) the leaks were into the right pleural space and I was able to fix them during the case. Note that one anesthesiologist managed to penetrate the artery twice,
Bob
 
 
-----Original Message-----
From: tacuff at swbell.net
To: OpenHeart-L at lists.hsforum.com
Sent: Wed, 21 Feb 2007 1:44 PM
Subject: Re: [HSF] acute aortic insuffiency dure to BE


There are reasons to think that pulling it out after 3 days may be better than 
right away. No guarantees, but reasons. Anybody have any observational or other 
data on that?
tea


----- Original Message ----
From: erdinç naseri <enaseri at hotmail.com.tr>
To: OpenHeart-L at lists.hsforum.com
Sent: Wednesday, February 21, 2007 10:24:37 AM
Subject: Re: [HSF] acute aortic insuffiency dure to BE


Hal,
You are right I hope the anestesia will be more smooth next time.Catheter in 
the left jugular region ( trying to cateterize L jugular vein ending up in a 
massive hematoma in that region and on CXR catether up to the ascending 
aorta.To tell the truth some how scared of pulling out the cath outside the 
operation room.No problem in the L upper extremity.
erdinc


>From: Hgrmd at aol.com
>Reply-To: OpenHeart-L at lists.hsforum.com
>To: OpenHeart-L at lists.hsforum.com
>Subject: Re: [HSF] acute aortic insuffiency dure to BE
>Date: Wed, 21 Feb 2007 06:11:21 EST
>
>Erdinc,
>   IV in the subclavian artery?  What's the status of the hand on  that 
>side?
>Years ago, I remember some locum tenens anesthesiologist was  caught
>accidentally giving induction meds down my patient's radial A-line.   The 
>only way we
>picked it up was that the patient screamed in pain as the meds  went to the
>affected hand.  Fortunately, no harm done, but that was the  last case that
>anesthesiologist ever did for me.
>   Anyway, good luck with your patient.  Hopefully, induction will  be a
>little smoother this time.  In the absence of CAD, I can't think of a  good 
>reasaon
>for your patient collapsing hemodynamically at induction.   Sound like bad
>anesthesia to me. Before you do the operation, I would definitely  review
>protocols with this anesthesiologist.
>Hal
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