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Total Arterial Re-vascnlarisation : In total arterial re-vascularisalion (TAR) end of the right internal mammary artery (RIMA) or radial arlery (RA) is anastomosed to the side of left internal mammary artery (LIMA) as a T or Y graft. This is done before cardio pulmonary bypass. On bypass, LIMA s anastomosed to diagonal branch as side-to-side and to LAD as end-to-side graft. Then sequential anastomoses between RIMA and OM1, OM2 or OM3 are done as side-lo-side anastomosed and it ends in PDA or KCA as an end to side graft.
Some patients may need ionotropic support of dopamine, dobutamine or adrenaline. In spite of ionotropic support, if blood pressure is low and LA pressure is high, insertion of intra aortic ballon pump (IAUP) is indicated.
After patient is weaned off cardio pulmonary bypass, cannulae are removed and heparin is reversed with protamine sulphate. Chest is closed with two drains. Patients are taken off ventilator after a few hours or next morning and if no complications intervene they should be back in the ward next day. They are ready to go home in 9 to 10 days.
Explain the Metabolism - Zinc? Zinc has been found to play an important biological role in our body. Zinc ions can be chelated and precipitated by a number of chelating agents
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What grade did you get in biology?
Q. What do you mean by ST Hystersis? Ans. The rate of recovery of ST depression has been recognized as a measure of ischaemia severity for many years. When comparing the m
Define Reagents for Preparation of Phosphate Buffers? Buffer solutions of pH4, pH7 and pH 9.18 phosphate buffer solution: 0.1 M disodium hydrogen phosphate or Na 2 HPO 4
Define Natural Disasters - Public Nutrition? Disaster prone settings also shape the intensity and prevalence of food insecurity, these consist of poor who are exposed to recurr
State the aim of Neuropsychological assessment Neuropsychological assessments aim at specifying in as much detail as possible the functional deficits that exists in a manner th
Infraorbital nerve and vessels The infraorbital nerve exits through the infraorbital foramen. This foramen and the neurovascular contents are within 5 to10mm of extremely resor
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