How to Come Off a Bypass Machine

Coming off bypasses and I don't think of it as like flipping a light switch It's not on or off. Sometimes you just have to wait for the heart to get a little bit warmer give it some time other options are increasing your ionatrops Going up on your epinephrine Adding a different ionatrope something like over known Exactly, and we can go into those more. And there it also depends on what is the abnormality is that the right heart that's having dysfunction is that the left heart that'shaving dysfunction or is it both? So those will kind of affect our decision points.