Smaller skin incision from sternal angle – if so, free up some soft tissue superiorly. Clear the pericardium of fat and layers using a dry swab after removing the thymus before opening the pericardium. Use scissors to open pericardium to get cleaner edges. Leave the right pleura closed till the end to avoid the lungs…
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How to build a rota with new contract ‘principles’ 7 days equal cover. No more than 4 nights or 5 long days in a row Not more than 56 hours a week over 8 weeks Not more than 72 hours a week in any 1 week Not more than 48 hours a week? BBC…