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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.
Photoreceptors Photoreceptors are concerned in absorption of light by photosensitive pigments. The chemical change involved produces the impulse concerned in the nerve cells.
Counselling Diabetic Travellers The counsellor needs to educate a diabetic patient and /or his family members to following issues when such patients plan to travel: · Plan
Explain the Clinical Features of PS and VSD ? Normal 0 false false false EN-IN X-NONE X-NONE MicrosoftInternetExplorer4
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Explain sol -gel transformation During sol -gel transformation, a three dimensional network is formed by the interlocking of dispersed particles. The liquid phase is entrapped
Demography : This is the study of populations. In the other words demography is the statistical study of human population. This may be a very general science which can be applied t
Q. Can the heat capacity of water be taken small or large ? What is the biological importance of that characteristic? Ans. From Thermology it is define that the quantit
Define the Basic Types of Drying Process? Primarily, there are three basic types of drying process: a) Sun drying and solar drying; b) Atmospheric drying including batch
Protein Folding With all the known information of protein structure from X-ray and NMR studies and one might expect in which we would know how proteins fold up within structure
Feeding Mechanisms of Animals All animals have evolved successful methods for extracting their required nutrition from the environment. Thus we find a diversity of feeding mec
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