Already have an account? Get multiple benefits of using own account!
Login in your account..!
Remember me
Don't have an account? Create your account in less than a minutes,
Forgot password? how can I recover my password now!
Enter right registered email to receive password!
Explain the Techniques of Operation used in post myocardial infarction ventricular septal defect?
Techniques of Operation : If the patient's condition is stable cardiac catheterisation, coronary angiography and left ventriculography are done. Otherwise patients are taken up based on echo and doppler studies. Pre-operative intra aortic balloon pump (IABP) and pulmonary arterial pressure monitoring (Swan-Ganz catheter) will be of great help. Operation can be safely postponed if there is:
1) Adequate cardiac output with no evidence of cardiogenic shock.
2) Absence of pulmonary oedema and pulmonary venous hypertension.
3) Absence of fluid retention on treatment with diuretics and digitalis.
4) Good renal function.
Patient should be under close observation during this period and urgent operation undertaken if there is deterioration. Haemodynamically compromised patients are taken up for surgery with a Swan
Ganz pulmonary arterial catheter in situ and on intra aortic balloon pumps (IABP). At times the surgeon may have to put the patient on cardiopulmonaty bypass under local anaesthesia using femoral arterial and venous cannulae before' anaesthesia. This helps to overcome haemodynamic collapse at the time of induction of anaesthesia.
Initial steps of the operation are the same as described for coronary artery bypass grafting. Saphenous vein is harvested during median stelnotomy and preparation for cardiopulmonaty bypass. Ascending aorta and superior and inferior vena cavae are cannulated and snares passed around both vena cavae preparatory to total cardio pulmonary bypass. Antegrade and retrograde cardioplegia through aortic root and coronary sinus are given for good myocardial protection.
Q. What are the few examples of movement created by the contraction of sarcomeres of the muscle cells? The handling of a cup of coffee, the peristaltic movements of the bowels,
Similarities in body parts often indicate shared ancestry. Which of the following is true? Structures used for different purposes in different groups can be controlled by the same
do you can write argument i will send you the article you want write from with rules please call me at 623-552-8532
THE CALORIE VALUE - The amount of heat liberated from complete combusion of 1gm food in a bomb caloriemeter (a closed metal chamber filled with O ) is its gross calorific
Explain several biological classification of animals There are several biological classification of animals. There are: i) Phenetic Classification ii) Natural Classificati
CHEMICA L COMPOSITION OF CHROMATIN Chromatin threads composed of DNA (31 %), RNA (2-5%) and proteins (Histon-36%, Non histon 28%). Histone and protamines are basic prote
Autonomic Nervous System (ANS) Autonomic Nervous System functions without conscious control of central nervous system. This system controls the functions of cardio-vascular, ga
Define Tips that should be followed before an event Start? Before the event, following tips should be followed: As the glycogen stores may be used up during night, a h
A glycosidic bond would be present in: Select one: a. acetone. b. methyl-alpha-D-glucose. c. 2-deoxy-beta-D-ribose. d. glucose-6-phosphate. e. fructose-1, 6-bisphosp
Personal Protective Equipment These equipments are essentially required during working to protect face, eyes, respiratory system hands and clothes. Additionally in various in
Get guaranteed satisfaction & time on delivery in every assignment order you paid with us! We ensure premium quality solution document along with free turntin report!
whatsapp: +91-977-207-8620
Phone: +91-977-207-8620
Email: [email protected]
All rights reserved! Copyrights ©2019-2020 ExpertsMind IT Educational Pvt Ltd