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Mon Jan 8 19:44:28 GMT 2007

I think they are dead at this point too. A bolus of Aminlphylline can cause V-Tach if you think that would be an improvement. Any intervention should have been done prior to asystole and directed at the cause of asystole. Surgical patient, likely blood loss.  Medical pt, myocardial hypoxia and infarction or severe electrolyte imbalance. Why beat a dead horse, it's not going to giddyup? Resources are better used else where be it staff, time or supplies. 

---- Craig Ellis <Craig.Ellis at hawkesbaydhb.govt.nz> wrote: 
> Isnt the patient dead at this point ?
> 
> Craig 
> 
> -----Original Message-----
> From: trauma-list-bounces at trauma.org
> [mailto:trauma-list-bounces at trauma.org] On Behalf Of Jago Miloguz
> Sent: Tuesday, 9 January 2007 4:09 a.m.
> To: Trauma &amp, Critical Care mailing list
> Subject: AMINOPHYLLINE IN REFRACTORY ASYSTOLE
> 
> l apologize for not making it a trauma aspect directly,but nevertheless,
> it is not rare to have comorbidity of surgical and non-surgical
> conditions in same patient at the same time.
>  so l was interested in hearing from first hands experiences if possible
> on use of aminophylline in asystole patients when adrenaline and
> atropine aren't doing it.
>  the thing  that makes me hesitate is the fact that aminophylline would
> actually have a parasympathical effect on cardiovascular system  they
> encourage usage due to its effect as a adenosine antagonist so l would
> appreciate any advise and your experiences regards, ante
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AMINOPHYLLINE IN REFRACTORY ASYSTOLE