Proton Mean and Cardiopulmonary Bypass

The key as you said being to give that proton mean slowly correct and some will even advocate giving a test dose. Patients at increased risk for having a bad reaction to proton mean are patients that have had vasectomy Or have been exposed to nph insulin in the past Great All right, we've covered a lot of great stuff the one question I we didn't talk about is For an off pump cabbage meaning uh, uh, cornier already bypass graft that's being done not with core cardiopulmonary bypass. Are there other things you keep in mind for those? So those are great cases and they're very fun cases They can be very very challenging almost more challenging than a in