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Mon Apr 16 06:27:35 BST 2007

As an anaesthesiologist, I agree totally [for trauma]. Just don't
extrapolate  beyond trauma (very good place for inotropes in, for
example, laparatomy to remove dead rat from abdomen ie sepsis).

Cheers, Ian

Ian Seppelt FANZCA FJFICM
Senior Staff Specialist
Dept of Intensive Care Medicine
The Nepean Hospital, PO Box 63 Penrith NSW 2751
Clinical Lecturer, University of Sydney

>>> rfsmithmd at comcast.net 14/04/2007 2:04am >>>
I know there are several anesthesiologists on the list. I don't
understand
why they use pressors, ever. I would think it just gives a false sense
of
security and makes it hard for the surgeon to know where the patient
is,
phyisiologically. In fact it might obscure the decision to move to
damage
control mode if that wasn't initially the thought.

R. Smith

-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org] 
On Behalf Of kmattox at aol.com 
Sent: Friday, April 13, 2007 10:13 AM
To: Trauma &amp; Critical Care mailing list
Subject: Re: Damage Control

For anesthesia and damage control, avoid giving pressors and
crystalloids to
falsely elevate the Blood Pressure and pop the clot.   Anesthesiologist
like
to see a highish BP on their record and for Damage control surgery, I
like
to see a systemic BP of 80/- or below.  

K

Sent via BlackBerry, return via KMattox at aol.com 

-----Original Message-----
From: "Claudia Baptista" <claudiabaptista at hotmail.com>
Date: Fri, 13 Apr 2007 13:50:16 
To:trauma-list at trauma.org 
Subject: Damage Control

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