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Toradol
Howard C. Berkowitz hcb at gettcomm.comSat Apr 1 21:13:28 BST 2006
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Another anecdotal recollection--well, anecdotal after I reviewed the chart; I don't remember much of the time in the SICU. I had a CABG in 1994 at Georgetown, and the stepdown analgesic protocol in the SICU went from titrated opioids to Toradol. Their practice, at the time, was to give an initial 3X loading dose, and then the conventional Toradol dose, with Percocet po, decreasing the Toradol until I could stay on Percocet. Has anyone else encountered the practice of a loading dose? I asked my surgeon, who sent one of the cardiac anesthesiologists to visit, and asked about the practice -- he swore by it, but said that as far as he knew, it had not been reported in the literature. The only significant complication was total destruction of my left auditory nerve, which already had about 20% loss from a childhood heatstroke. I'd still tend to think that was caused by a random embolus that didn't land some place more critical.
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