Brucenet2000

At what point do you generally treat bradycardia in the therapeutic induced hypothermic paitent? And do you generally start with vasopressors? At what point do you reverse cooling related to bradycardia? Thanks! I'm strugging to find good evidence online as to what is best recommended and when........... so looking for some real world thoughts!

I've just learned, it's still the traditional open heart surgery, but he is going to do a V shaped incision - starting under each collarbone and coming down into a V. He'll fold that flap of skin up and the proceed as usual.......... I'm wondering if it will actually more like a Y.......... this is still something I've never heard of.

She doesn't care about the incision being visible, this is just how it was explained to her by the surgeon. And I just can't figure out what exactly he is talking about.........

I have been told a friend of mine is having open heart surgery for repair of her mitral valve prolapse with severe regurgitation and new afib. She tells me she wasn't a candidate for the minimally invasive procedure to repair her valve and is going to have to "have her chest cracked" in her words. However, she says instead of the traditional vertical "zipper" she will have an incision on her chest that is crescent moon shaped and she will be able to wear a v-neck without the incision being visible. My entire nursing career is emergency nursing, so I realize there is sooooooo much I don't know about in the realm of cardiothoracic surgery - but I don't think I've ever come across a patient in my ER with this shaped chest incision. (And I've been a travel nurse for many years) So, I would love to research this approach, but can't seem to find any "google searches" matching........ has anyone heard of this? Can you enlighten me? Thanks!!