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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 nutritional properties of the eggs Drying of eggs under normal conditions causes little loss of the nutritional properties of the eggs. Vitamin A, vitamin B, thiamine,
Define Advantages of membrane filtration technique? (i) Both total and viable counts can be obtained. (ii) Specific microorganisms can be selected by using special media.
Flow cytometry is an analysis of biological material by detection of light- absorbing or fluorescing properties of cells or subcellular fractions (that is chromosomes) passing in
Given the cell described in Figure 7.7 with a=100mM, Pk=1.0, and PNa=0.04, at steady state, plot the relationship between Jp and V.
Sucrose is commonly used to preserve fruits why not glucose? Ans) Glucose is reactive due to its open-chain form having an aldehyde group.
Which of the following serves as a controlled variable in a negative feedback system? A. Levels of hydrogen ions in the interstitial spaces of the brainstem. B. Blood plasma
mode of nutrition in zebra
Determine the principles of Behavioural neuropsychology Behavioural neuropsychology approaches are based on the principles of learning theory and behavioural modification. Beh
Q. In which bones can bone marrow chiefly be found? Is the bone marrow made of osseous tissue? Bone marrow can mainly be found in the internal cavities of flat bones, like the
Q What is the other name given to the sex chromosomes? What is the function of the sex chromosomes? Sex chromosomes are also known as allosomes the other chromosomes that are n
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