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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.
State the Versions of Binocular movements Versions are movements of both eyes in the same direction. a) Dextroversions: Movements of both eyes to'the right side. b) Levov
Q. Show the Use of Incineration for sterilization? This is an excellent method for rapidly destroying materials such as soiled dressings, animal carcasses, bedding and patholog
Chordal Sparing Operation : For sparing both leaflets, an incision is made on the anterior leaflet close to the annulus and then extended centrally and the two segments,
Procedure of Examining Foot Let us learn the steps of examining the foot and identify foot at risk. Steps to follow: 1. Make the patient comfortable. 2. Provide priv
Peri operative Myocardial Infarction : Peri operative Myocardial Infarction is diagnosed by the appearance of fresh Q waves. Non-Q, myocardial infarction is suspected when there
mechanisms of reciprocal inhibition
What are holandric genes? The Holandric genes are genes situated in the nonhomologous region of the Y chromosome. Holandric genes condition phenotypes that emerge only in men s
Q Which is the biological molecule that holds the genetic information that is transmitted hereditarily and controls the cellular functioning? The hereditary molecule that contr
How is the responsible slromal swelling pressure for corneal hydration? Slromal Swelling Pressure Stromal Swelling Pressure (SSP) is the pressure exerted by GAG (Glycosa
WHAT ARE TRACHEOLES
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