[HSF] Another on vs off pump question, dilatation of IMA......

[Gall MD, Warren]

Naseri,
    How do you dilute the papaverin to bring the PH to near normal?   Do you actually measure the PH or just empirically dilute with equal amounts?  

Warren Gall

-----Original Message-----
From: openheart-l-bounces at lists.hsforum.com [mailto:openheart-l-bounces at lists.hsforum.com] On Behalf Of erdinç naseri
Sent: Thursday, June 07, 2007 7:56 AM
To: openheart-l at lists.hsforum.com
Subject: RE: [HSF] Another on vs off pump question, dilatation of IMA......


Don,
I always use intraluminal papaverin  ( diluted to  bring the PH near to normal) for lima .My observation is that if there is no trauma during the harvest certainly there is no problem in injecting th e papa into the lumen. All cases with dissection of lima  during intraluminal injection were those with previous trauma to lima during the harvest.Also before cross clamping I transect the distal lima and let it bleed for 1 minute into a bowl .If more than 100 cc then Ok,50-100 reobserve before anastomosis  of the vessel,<50 cc put lima to a diagonal.I use the blood in the bowl for vein dilatation.
 we are  planning to  buy a TTFM and then our CABg cases will be much funn ( at least for me) 
erdinc
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