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NS vs LR
Alessandro Rigobello alessandro.rigobello at ulssvicenza.itTue Jul 13 07:46:16 BST 2004
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i guess some extra expansion (and maybe vasopressor if you don't want to infuse so much) is needed when you want to intubate the patient, even if you use etomidate, unless you want BP fall to 40/-...or if you prefer to intubate without an induction (i don't think so) alessandro rigobello anesthesiologist/critical care physician vicenza regional hospital - italy alessandro.rigobello at ulssvicenza.it ----- Original Message ----- From: "Thomas Mead" <tomead at yahoo.com> To: "Trauma & Critical Care mailing list" <trauma-list at trauma.org> Sent: Tuesday, July 13, 2004 5:10 AM Subject: Re: NS vs LR > Lisa, > I think Dr. K has a point, unless there is so > much fluid pushed that they bleed pink and die anyway > ther is not much difference between them. With the > small amount it would typically take to maintain a > systolic at 80mmHg there should be little difference > aside from the fact that the LR seems to remain in the > intavascular space longer due to the slight difference > in osmolarity. On the flip side, NS seems to offer > fewer compatability issues if you have to PB > something. > > By the way, Kudo's to the ems crew that worked the > rollover with ejection earlier this month, The guy was > "fubar", (his ct reminded me I need to get some > tickets for the nutcracker later this year) But this > patient reflected some damned fine prehospital Care! > Maybe someday these people will realize that > polypharmacology experiments should remain stationary! > > Thomas > > > > > __________________________________ > Do you Yahoo!? > New and Improved Yahoo! Mail - 100MB free storage! > http://promotions.yahoo.com/new_mail > -- > trauma-list : TRAUMA.ORG > To change your settings or unsubscribe visit: > http://www.trauma.org/traumalist.html >
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