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... Not me. I never understood the physiological rationale to even expect that it would, so the lack of evidence is not surprising. The first sentence in the...
15187
CRITCHLEY Lester Augu...
b184731@...
May 17, 2012 4:19 am
Dear all, To add to Sandy's remarks. Hypovolaemia is relative and depends on sympathetic tone (i.e. the vascular volume is not fixed). I perform an epidural...
I personally son't understand why this would be and I also prefer to be restrictive with iv fluid administration however this is a large and apparently...
Lester, crystalloid volume loading may do little to prevent hypovolemia for many reasons, mainly due to the fact the venous circulation will stretch and may...
Dear Colleagues; It is my great pleasure to invite you to partcipate to the James Cook Regional Anesthesie Course that will be held in Beirut Lebanon, on...
Dear Colleagues; It is my great pleasure to invite you to partcipate to the James Cook Regional Anesthesie Course that will be held in Beirut Lebanon, on...
A 24 yrs old male victim of RTA was presented with multiple traumas included: - Open comminuted fracture of the olecranon process, - Bilateral mild lung...
Why wasn't he operated on right away with an open fracture - I guess you could perhaps accept 8 hours maybe.. I'd make sure he's getting an antibiotic -...
Dear Ivan, ... Correct, however that what was happened! ... Tazocine was prescribed and given. ... All of them were free apart from lung contusions. ... They...
I would not hesitate to insert an internal jugular CVC for monitoring CVP in
this patient. I may extubate at the end of surgery depending on the condition of...
Mohamed, The alternate plan would be just the block with light sedation and good fluid resuscitation, as long as the patient was agreeable. Joe Lesser...
Joe, ... Very reasonable option. Dr.Mohamed R.El-Tahan, M.D. Assistant professor of Anaesthesia & Surgical ICU University of Dammam, Ad-Dammam, Saudi Arabia ...
Colleagues, Â Just what constitutes "good fluid resuscitation" in the patient with a significant lung contusion? Where does the rubber meet the road in terms...
Dr. Hany Thanks for your response. ... Although I am fan to use invasive monitoring for cardiac fillings (CVC and pulmonary artery occlusion pressure) and...
Art, ... You raised a very important point, which is the importance to monitor both of stroke volume variability (SVV) and total lung water content (extra...
All, What if any system are you utilizing to measure EVLW? In what instances are you utilizing it and what is your take on any impact on morbidity or...
Dear Dr. Tahan, Let us see it from my point of view. We have a patient with lung contusions in whom unwise fluid transfusion is
hazardous. We have a patient in...
A healthy young trauma patient with a resting tachycardia of 130 has a problem which needs urgent attention. As long as tamponade or tension pneumothorax are...
Dear Sandy, ... Thanks. Dr.Mohamed R.El-Tahan, M.D. Assistant professor of Anaesthesia & Surgical ICU University of Dammam, Ad-Dammam, Saudi Arabia ...
Art, ... I am fan to use PiCCO2 (pulse contour drived cardiac output), since we got it few months ago. It needs insertion of thermodiultion catheter in either...
Dr. Hany Thanks for your response, ... I think you missed here that US guided supraclavicular block was done after stabilization of the patient's conditions...
Dear Ivan, I hope that my email find you in excellent conditions. This to kindly accept the membership of Dr. Wessam Moussa, Associata Prof of Anesthesia in...
A 40 yrs old lady (54 kg, 151 cm) with history of Systemic Lupus Erythematosus (SLE) (treated with prednisolone and mycophenolate), cardiomyopathy [EF was 0.4...
15209
nohawaleed@...
May 20, 2012 7:37 pm
Dear Mohammed, This patient was definitely behind in fluids. I would go for supraclavicular block us guided and minimal sedation. I will do CXR Due to lung...
I wouldn't do anything too special, EF 40 % generally still do well with little hypotension during routine anesthesia management with potent gases and even a...
Ivan, ... Me too I was concerned mainly about her EF as a primary objective and lupus nephritis as a secondary one. Added to the positioning risk for her...
Mohamed, I would do her with careful positioning, and depending on her airway/neck extension, an awake fibreoptic intubation. That would let me ask her to move...
Joe, I would do her with careful positioning, and depending on her airway/neck extension, an awake fibreoptic intubation. That would let me ask her to move all...
What I did for her? I had the following concerns: 1) Perioperative need for Steroid supplements with hydrocortisone. Tight control of blood glucose between...
Dear colleagues I agree with all that careful positioning, and awake FOI is needed, and no need to cancel the patient due to digoxin level unless there were...
Scheduled Maintenance:
We are undertaking some essential, but extensive maintenance to improve Yahoo!
Calendar. Your Group Calendar is being migrated to a much improved version of
Yahoo! Calendar. During the maintenance period, you may not have access to your
Groups Calendar.
We sincerely apologize for this inconvenience. Your Groups Calendar is in great
shape and we are working to have it available again as quickly as possible
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