[HSF] Protamine Infusion Rates

Tea Acuff tacuff at swbell.net
Mon May 19 19:40:18 EDT 2008


Correct. If you want the right answer ask me...or Hal.
tea



----- Original Message ----
From: Ben Bidstrup <benjamin.bidstrup at bigpond.com>
To: OpenHeart-L at lists.hsforum.com
Sent: Monday, May 19, 2008 4:59:02 PM
Subject: Re: [HSF] Protamine Infusion Rates


This is no different to our methods of cardioplegia, myocardial 
preservation etc. etc.

>yup - sometimes not uncommon to have the wires in to find out that the
>protamine is not completely in.  I am just a little surprised that there is
>nothing standard with regards to the dosing rate.
>
>
>-m
>
>
>On 5/19/08, Prasanna Simha M <prasannasimha at gmail.com> wrote:
>>
>>  45 minutes !!. Then I think you can close and give the remaining protamine
>>  in the ICU.
>>  Prasanna
>>
>>  On Mon, May 19, 2008 at 5:13 PM, <tdmartin2000 at aol.com> wrote:
>>
>>  > We ahve the? same variability and it? seems that it depends on the
>>  > personality of the anesthesiologist and what their past experience is
>>  with
>>  > protamine reactions.
>>  >
>>  > Tom Martin
>>  > U of Florida
>>  > Gainesville
>>  >
>>  >
>>  > -----Original Message-----
>>  > From: Michael Firstenberg <msfirst at gmail.com>
>>  > To: OpenHeart-L at lists.hsforum.com
>>  > Sent: Sun, 18 May 2008 12:45 pm
>>  > Subject: [HSF] Protamine Infusion Rates
>>  >
>>  >
>>  > An on-going debate we have is the rate in which protamine should be
>>  > infused. One of our anesthesiologists (who I would want doing my mom's
>>  > surgery) slams it in. Other seem to take forever - a particular headache
>>  as
>>  > we watch the patient bleed from lack of clot....... I am surprise by the
>>  > lack of science on this and the reliance on voodoo.....?
>>  > ?
>>  > -michael?
>>  > ?
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>>
>>  --
>>  Prasanna Simha M
>>  _______________________________________________
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-- 
Ben Bidstrup FRACS FRCSEd FEBCTS
Consultant Cardiothoracic Surgeon
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