does anybody mix calcium into their protamine for coming off CPB?

[caligas]

Not sure what the compatability is.

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[jwk]

And that saves how many seconds?

 

[caligas]

Not to save time but to give an inotropic boost with the proti and to do so in a hemodynamically smooth way by having it mixed in.

 

[deleted126335]

Not to save time but to give an inotropic boost with the proti and to do so in a hemodynamically smooth way by having it mixed in.

Protacal. One institution I worked at long ago used to do it. Gave it via soluset.

 

[Bertelman]

Not sure what the compatability is.

A few of my attendings did. Not a big fan of mixing drugs with discordant effects. I just pushed it when I needed it.

 

[usnavdoc]

There is no reason to do that

 

[urge]

does anybody mix calcium into their protamine for coming off CPB?

Try it and report back.

 

[gasattack3]

We do it routinely. Then again, we put Swans in virtually every heart patient, unless contraindicated.

 

[Gimlet]

Protamine goes through the PIV where I train. I try not to give concentrated CaCl2 peripherally, hence no mixing for me.

 

[periopdoc]

Buretrol with

1 g calcium

Protamine

Saline to bring to 50ish cc

Run wide open through PIV

Flush with additional 25-50 cc

Works great. I can't even tell that the prot is going in unless I am paying very close attention to the PA pressures which occasionally bump slightly.

- pod

 

[imfrankie]

Buretrol with

1 g calcium

Protamine

Saline to bring to 50ish cc

Run wide open through PIV

Flush with additional 25-50 cc

Works great. I can't even tell that the prot is going in unless I am paying very close attention to the PA pressures which occasionally bump slightly.

- pod

NIce tip. ...don't currently do cardiac, but will remember it.