[HSF] Pre op room air blood gases.

[A]

Michael:
I agree with you they are needed and are a must. When one compares the
benefits of the information they give the cost becomes meaningless.
I have implemented this in our preop orders since I started my practice.
Some of the new comers do not agree with me but I have seen many conversions
once they feel the heat.
Ahmed

-----Original Message-----
From: openheart-l-bounces at lists.hsforum.com
[mailto:openheart-l-bounces at lists.hsforum.com] On Behalf Of Michael
Firstenberg
Sent: Friday, June 22, 2007 6:31 PM
To: OpenHeart-L at lists.hsforum.com
Subject: [HSF] Pre op room air blood gases.

We are in the midst of a heated discussion.  I agrue that like basic labs
and chest xray a room air abg is needed before heart surgery. My partners
advocae that it is a waste of money unless clearly indicated.  But no one
gives indications.

Thoughts?
Practice patterns?
Bob - i am sure you wrote a few papers on this.


Michael Firstenberg <msfirst at gmail.com>

-----Original Message-----
From: "John Schor" <johnschor at mac.com>
To: OpenHeart-L at lists.hsforum.com
Sent: 6/22/2007 9:00 PM
Subject: Re: [HSF] CABG in Patient with HIT Antibodies

Hal:
One dose of heparin for CPB is usually OK....believe it or not. The  
prolonged administration of heparin, ie the flush in  an Arterial  
line, is much worse.
John

John Schor, MD
PO Box 4445
Cottonwood, AZ 86326


On Jun 22, 2007, at 4:50 PM, Hgrmd at aol.com wrote:

> Dear Members,
>   I need a little advice.  My group was consulted on a 53 yo man   
> with SEMI
> who was found to have 3VD with an EF of 25%.  His past history is   
> significant
> for severe thrombocytopenia after a PCI in '02.  During this   
> admission, he
> received Lovenox.  Angiomax was used during the cath.   He has HIT  
> antibodies.
> I suggested an OPCAB with Angiomax to my  partner.  Supposedly, it  
> has the
> shortest half life and is hepatically  excreted.  Does anybody have  
> a specific
> protocol for Angiomax and  CABG?  Are other agents better?   
> Claudia, where are
> you?
> Hal
>
>
>
> ************************************** See what's free at http:// 
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