[HSF] Protamine Infusion Rates

Tea Acuff tacuff at swbell.net
Mon May 19 20:27:31 EDT 2008


Well I don't know about Hal, but i am an expert on everything that I have seen and some that i have heard about. i am surprised i am not pegged to be president of the AATS.
tea 



----- Original Message ----
From: Ben Bidstrup <benjamin.bidstrup at bigpond.com>
To: OpenHeart-L at lists.hsforum.com
Sent: Monday, May 19, 2008 9:13:57 PM
Subject: Re: [HSF] Protamine Infusion Rates

Which right answer is that?

>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 _______________________________________________ OpenHeart-L 
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-- 
Ben Bidstrup FRACS FRCSEd FEBCTS
Consultant Cardiothoracic Surgeon
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