[HSF] Embol-X

[prasannasimha]

Maximal "air stars" on TEE/Epicardial Eco always comes at 50 % CPB as 
little bits of air start getting displaced then.
Prasanna
Hgrmd at aol.com wrote:
> Dear Dr. Bachet,
>   Using TEE for air removal from the left side of the heart has been a  
> standard part of my routine for close to 10 years, yet I know of some surgeons  who 
> still do not routinely use it on AVR's!  Knowing Ani and his program,  I'm 
> sure TEE-monitored removal of air was done on those 2 unfortunate  cases.
>   To completely remove air on open cases, I take the patient  completely off 
> pump for a few minutes prior to removing the aortic needle  vent.  The 
> anesthesiologist then hand ventilates to completely expand the  lungs. This is an 
> important maneuver in assuring that all the air from the  pulmonary veins has 
> been removed.  While the patient is on CPB, the blood  flow through the veins is 
> always subnormal.
>  
> Hal
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