List Archives

Tue Apr 17 11:29:32 BST 2007

Ante

Simple: in acute injury hyperkalaemia is NOT an issue (even in te acute phase with burns)!

Tim
Dr T C Hardcastle
M.B.,Ch.B.(Stell); M.Med(Chir); FCS(SA)
Senior Surgeon / Senior Lecturer: Surgery (Trauma and ICU)
ATLS  instructor and DSTC Cape Town Course Director
Intern program Coordinator: Surgery
M.Med (Emergency Medicine) Executive Committee member
Clinical Head (Director): Diana Princess of Wales Trauma Unit
Division of Surgery (General) Room 4064
Department of Surgical Sciences
Tygerberg Hospital / University of Stellenbosch
PO Box 19063
Tygerberg 7505
Western Cape
South Africa
e-mail: tch at sun.ac.za
Cell: +27824681615
Office: +27219389281 or 4911 pager 0302

-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org]On Behalf Of Jago Miloguz
Sent: Monday, April 16, 2007 7:07 PM
To: Trauma &amp, Critical Care mailing list
Subject: Re: Damage Control

l know sux is a god medicine,and with all his benefits,if patient has a 2
minutes to be induced in anesthesia why not avoid sux in trauma patients due
to possible hyperkalamia issue
ante

2007/4/16, Ian Seppelt <SeppelI at wahs.nsw.gov.au>:
>
> 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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