[HSF] Intimal Tears

[Prasanna Simha M]

That is why I always tell the enthusiastic resident he will not put the skin
incision till I or one of my colleagues are physically in the OR. Had my
fair share of residents puncturing the innominate artery during suprasternal
dissection so much so that I have made it a rule for them when doing a full
sternotomy to dissect with a Mixter and place a Langenbeck behind the
sternal plate when using a cautery.
Prasanna

On Feb 5, 2008 7:52 AM, Michael Firstenberg <msfirst at gmail.com> wrote:

> I call it lack of adult supervision
>
>
> -michael
>
>
> On Feb 4, 2008, at 9:19 PM, Tea Acuff wrote:
>
> > I seriously doubt it.
> >
> > tea
> >
> >
> > ----- Original Message ----
> > From: "Hgrmd at aol.com" <Hgrmd at aol.com>
> > To: OpenHeart-L at lists.hsforum.com
> > Sent: Monday, February 4, 2008 7:33:16 PM
> > Subject: Re: [HSF] Intimal Tears
> >
> > Ani,
> >   Though I'm sure it's not been examined, I would bet you that
> > teaching
> > institutions have proportionately more M and M with lines than
> > would be   found in
> > the typical private practice setting.  While a chief resident in
> > general
> > surgery many years ago, I had an intern who fatally lacerated a
> > subclavian artery
> > with a central line needle.  Changing the angle of the  needle
> > while it is
> > deep in the neck or chest is the presumed mechanism.
> >   Academics and private practice settings have their pros and
> > cons.   Having
> > a resident readily available at 2 in the morning is offset by  the
> > danger of a
> > new resident with a big needle.
> >
> > Hal
> >
> >
> >
> > **************Biggest Grammy Award surprises of all time on AOL Music.
> > (http://music.aol.com/grammys/pictures/never-won-a-grammy?
> > NCID=aolcmp003000000025
> > 48)
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-- 
Prasanna Simha M