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

[erdinç naseri]

Warren,
Ph of papaverine is 5.5 when I dilute it 10 times PH becomes 6.5.take 5 cc of this solution in a 10 cc syringe .Insert it to lima lumen and then draw 5 cc of blood.This maneuver both dilute the solution further and also assures that lima is prpperly located within the lumen.
erdinc> Subject: RE: [HSF] Another on vs off pump question, dilatation of IMA......> Date: Thu, 7 Jun 2007 11:41:38 -0500> From: wgall at mahealthcare.com> To: OpenHeart-L at lists.hsforum.com> CC: > > 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> _______________________________________________> 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> -----------------------------------------