[HSF] Post-op arrest

[erdinç naseri]

prasanna,
DDAVP?
I don't worry about the renal function as we have RRT equipment available in ICU. The problem is that we couldn't procure any homologous blood despite so many donors.Should I proceed and treat him as a devoted Jehova witness or should I send him to another center with the hope that they will find some homologous blood.
erdinc> Date: Tue, 17 Jul 2007 19:45:54 +0530> From: prasannasimha at gmail.com> To: OpenHeart-L at lists.hsforum.com> Subject: Re: [HSF] Post-op arrest> CC: > > DDAVP, Aprotinin or tranexamic acid (You can't make renal function worse > now as he is HD dependent)> > Prasanna> > erdinç naseri wrote:> > Dear all and specially Claudia,> > 54Y/O male,IDDM,CRF on HD( Creatinin =8 mgr/dl)> > Admitted with chest pain(USAP)> > CAG:LMCA %60,PDA%80,OM1%90, Echo: good EF and no valvular patho.> > Planning to do OPCAB.and now the problem:> > No suitable homologous blood in over 20 donors and as Claudia once objected ,our blood bank is not a sophisticated one ,i.e no washed rbc.s,no radiated rbc.s, no platelet concentrates only banked blood ,FFP,random donor platelets and rbc concentrates.> > Solutions:1.preop autologous blood donation> > 2.Use of autotx device> > 3. strict hemostasis> > Any comments,> > erdinc> > _______________________________________________> > 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> > -----------------------------------------> >> > > _______________________________________________> 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> -----------------------------------------