List Archives

Wed Apr 19 21:16:30 BST 2006

Mike,
I think that anesthesia isn't your subject, because you are making a lot of
inappropriate comments and  a lot of confusion over the various drugs used.
Maybe you should listen and learn a lot more before making  comments. My one
cent thought!!
Peter.
----- Original Message -----
From: "Michael Ferker" <xg2k2 at yahoo.com>
To: "Trauma &amp, Critical Care mailing list" <trauma-list at trauma.org>
Sent: Wednesday, April 19, 2006 9:17 PM
Subject: RE: Muscle relaxant in the filed and helicopters


> Eh sorry, that actually was my fault. I recently looked at an article
regarding a correlation between sleep apnea and thoracic aorta dissection,
and somehow managed to invent a new syndrome in my post. When I think of
muscle relaxants in the pre-hospital setting, I believe Ketamine is one of
the more commonly used ones, and recent inquiries into prevalence of
arrythmia along with the apnea can cause certain issues in the ambulance
that may not be equipped to address. Sorry about the confusion, I'm still
trying to refine my ability to present arguments in a semi-formal setting.
:-)
>
>   -Mike F
>
> "Lamb, Keith D." <KLamb at Christianacare.org> wrote:
>   What? I didn't understand one thing you just said. Sorry.....maybe it's
me
> but I don't see how any of this relates to the use of NMB.
> What is thoracic apnea? I like the good old fashioned apnea where the
> patient stops breathing and the passage of an airway is (theoretically)
> easier to accomplish. Apnea is a "desired" result of the use of NMB.
>
> I also don't understand your "dose" comment.
>
> I "think" that one of the biggest concerns about the use of muscle
relaxants
> pre-hospital is what do they do if they cant facilitate an appropriate
> airway after the patient is relaxed. What if they cant maintain a patent
> airway and BVM the patient after the relaxant. Then they (pre-hospital
> personnel) would have to do the same thing that we would do in-hospital,
and
> put a hole in the patients neck.
>
> Problem is of course that it is much more difficult to find a surgeon in
the
> back of an ambulance.
>
> Keith
>
> -----Original Message-----
> From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org]
> On Behalf Of Michael Ferker
> Sent: Wednesday, April 19, 2006 14:17
> To: Trauma &, Critical Care mailing list
> Subject: Re: Muscle relaxant in the filed and helicopters
>
>
> I think that the high potential for arrythmia, bradycardia, thoracic
apnea,
> or even straight up larynx spasms make me suspicious of administering
muscle
> relaxants (atleast in high doses) outside of a hospital.
>
> -Mike F
>
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Muscle relaxant in the filed and helicopters