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Technique: Careful re-opening of sternum and release of steinum from the underlying adhesion is done. Femoral artery and vein are exposed for going on femoro fenioral bypass, if there is torrential bleeding. Arterial conduits are prepared for re grafting. (IMA or RA) Availability of a cell saver is a good idea.
Careful dissection to release the heart from pericardium is done. At times, last part of the dissection can be done on bypass with an empty beating heart.
Careful preservation of LIMA, which is functioning, and minimal handling of runctioning vein grafts is important. Good myocardial protection by antegrade and retrograde cardioplegia is important. The operation can also be done off pump (OPCAB).
If only left sided grafts are to be done, a left thoracotomy is useful in OCPAB. Radial artery niay be used from descending thoracic aorta to OM or PDA. If LIMA is available it csul be used for LAD or OM. Mortality is 3-6 per cent. Peri operative MI 6-7 per cent.
Q. Hutchinsons System of Classification? John Hutchinson, a renowned British Botanist proposed 24 phyletic dicta or principles and based on these dicta he published a phylogene
Define Calcium, Phosphorus & Vitamin D required for Elderly? As mentioned earlier, due to the change in skeletal system, vitamin D and calcium needs increase with age. Bone min
Features of the Gastrulation The significant features of the gastrulation are: a) Proteins of many new types that were not present in the egg or blastula begin to be synthe
Non-nucleoside reverse transcriptase inhibitors (NNRTIs) - These drugs are direct, non-nucleoside inhibitors of HIV-1 reverse transcriptase. Combinations of an NNRTI with NRTIs
Phenylketonuria is a severe form of mental retardation caused by a recessive allele. The condition affects about 1 in 25,000 newborn babies. In a population of 250,000 people, how
Q. What are some symptoms and signs found in patients with hyperthyroidism? The hormones made by the thyroid gland stimulate the basal metabolism of the body in hyperthyroidism
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what type of skull does amphibians possess in general?
Explain Research dietitians Research dietitians work in the field of normal or therapeutic nutrition Research dietitians seek ways to improve the nutrition of both healthy
Assessment Infective endocarditis is characterised by insidious onset of fever, malaise, night- sweats and weight loss. Other signs include vomiting, fatigue, headache, mya
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