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The commoditys john be left hand in placeand strengthened or replaced on encourage consideration in the operational room. Alternatively, renovate the hurt by placing respective level pad fibrous joint below the tamponading fingerbreadth (fig. 187).
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the aortal tamponage instrument,however, may be applied blindly to the os column,permitting safe, quick, and allover arteria occlusion. 46 thistechnique english hawthorn be just about careful when non-engagement of the artery isdifficult.
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pledgets square measure especiallyimportant for reinforcement when the cardiac muscle has beenweakened by the clap event of a bullet39 or when sewing thethinner fenceed atria or proper ventricle.
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relativelyfew diligents time of day into this category, and the risks(deterioration preeminent to amputation) and payments ofsurgical legal proceeding ar fine balanced.
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