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NON-PRECEDENTIAL DECISION – SEE SUPERIOR COURT I.O.P. 65.37
COMMONWEALTH OF PENNSYLVANIA IN THE SUPERIOR COURT OF
Appellant No. 979 WDA 2015
Appeal from the Judgment of Sentence December 21, 2014
In the Court of Common Pleas of Jefferson County
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Prosthetic valves pose a serious risk to patients with septic valve endocarditis. The mortality rate after surgical repair ranges from 5 to 25%. Various techniques for anesthesia induction have been used during surgery with prosthetic valves. We report our experience with propofol anesthesia in 2 patients, 1 with infective endocarditis of a right prosthetic valve and 1 with prosthetic mitral valve. The anesthetic induction was performed without incident in both patients and endotracheal intubation was feasible. Cardiopulmonary bypass was necessary in the patient with prosthetic mitral valve, but prosthetic valve replacement was performed without any operative complications.[Effects of protamine sulfate on the lung and endothelium in the reperfused rabbit lungs].
Protamine sulfate is widely used as a heparin antagonist to reverse anticoagulant effect in patients with heparin induced thrombocytopenia after cardiopulmonary bypass. The protective effects of protamine sulfate on the lungs after cardiopulmonary bypass have not been elucidated fully. In the present study, a rabbit model of lung reperfusion injury was used to evaluate the protective effects of protamine sulfate on the lung. Twenty four New Zealand white rabbits were randomly divided into 3 groups and subjected to 90 min of normothermic cardiopulmonary bypass. Control group (C, n = 8): In this group, lungs were perfused for 90 min with 4 degrees C blood, then reperfused for 90 min with 4 degrees C blood, and then reperfused for 90 min with 37 degrees C blood. Protamine sulfate group (PS, n = 8): In this group, lungs were perfused for 90 min with 4 degrees C blood, then reperfused for 90 min with 4 degrees C blood