[HSF] Pre op room air blood gases.

[erdinç naseri]

Ani,
almost all of our CABG male patients are heavy smokers( and almost all female patients Type II DM) and it is not unusual to see preop PO2 around 50 mmHg.If such a patient has a value close to that in the ICU I won't worry, otherwise I will take measures to improve ABG.
ERDİNC> Date: Sat, 23 Jun 2007 09:56:38 -0500> To: OpenHeart-L at lists.hsforum.com> From: drmitch at cox.net> Subject: Re: [HSF] Pre op room air blood gases.> CC: > > Michael,> With absolutely no science behind it, our practise is to get a rm air abg > in the holding area when the art line is started. In So. Louisiana, most of > our patients are smokers and if indicated, will have had PFT w/ abg. > However, establishing a baseline is never a waste of money especially if > co-morbidity includes obesity or other associated pulmonary problems. BTW, > how can one argue against a pre-op CXR?> MitchAt 08:30 PM 6/22/2007, you wrote:> >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://> > > www.aol.com.> > > _______________________________________________> > > 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> >-----------------------------------------> >> >_______________________________________________> >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> -----------------------------------------