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xrymd

09/29/10 9:30 AM

#105328 RE: rkrw #105313

The case for replacing Protamine is dramatically stronger than replacing Thrombin



I use protamine everyday. I have never experienced a significant reaction nor have I heard of one. That includes 25 years of morbidity and mortality conferences.

If you give it IV push it can casue transient hypotension but no one with half a brain gives it IV push.

I don't buy the medicolegal aspect of the arguement. We deal with that 24/7 already.

FWIW I have had several significant reactions (transient 1-2 minutes) with bovine thrombin which no one can explain. I exclusively use recothrom now.