[HSF] I think therefore...(little ol' lady update)

[erdinç naseri]

Hal,
Regarding very long clamp and hence long CPB  times I would have some questions to be answered by you or any one interested:
1.What type of Heart-lung machine do you use?
2.What type of oxygenator do you use?
3.What is the average amount of blood ,if any,added to the circuit in these long cases?
4.What is the average upward shift in the extracellular fluid ( edema) in these caese and does it lead to any complication?
5.What is your diuretic protocol (if any) in these cases?
6.What are the exact details of your cardioplegia protocol in these cases( route,single or in combination,constituents of cardioplegia solution,..)?
7.What parameters do you follow for the monitorization of myocardial protection?(coronary sinus lactate,..)
erdinc> From: Hgrmd at aol.com> Date: Tue, 24 Jul 2007 19:28:41 -0400> Subject: Re: [HSF] I think therefore...(little ol' lady update)> To: OpenHeart-L at lists.hsforum.com> CC: > > Ani,> I had resisted weighing in on the conduct of Brent's case until now. I'm > glad she got off the table, but I believe the operation was probably > inadequate for a good quality long term result. Being a partner of Ed Bender, > perhaps he should have let Ed assist or do the case. I'm saying this as > constructive criticism, and I'm glad that Brent let us debate his management of the > case. Today, I did 3 valves and a cryomaze on an 82 yo man today. The clamp > time was a little over 2 hours due to careful endarterectomies of the sinuses. > Like you, I've got no problem with much longer clamp times (a few over 4 > hours) with my current method of myocardial preservation. > > Hal> > > > ************************************** Get a sneak peek of the all-new AOL at > http://discover.aol.com/memed/aolcom30tour> _______________________________________________> 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> -----------------------------------------