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Thu May 17 14:51:06 BST 2007

In a message dated 5/17/2007 8:39:46 A.M. Central Daylight Time,  
Rgross at harthosp.org writes:

Remember  that talk is cheap - and with "all the talk of permissive 
hypotention"   that practice is still not universally accepted nor scientifically  
proven......(sorry, Ken).
Ron

Sorry, Ron, there is a great deal more "science" to support permissive  
hypotension, going all the way back to Cannon in the early 1900's , than there  
ever was to support the 3:1 aggressive fluid resuscitation using  crystalloid.   
I have found not one, NOT ONE, scientific article in  people, to justify the 
reflex cyclic hyperresuscitation approaches of the 1960s,  1970s, 1980s, 1990s. 
     We have ample science to  support the many complicaitons of aggressive 
excessive use of  crysatlloids.  

k  

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Science of Use of Excessive Fluid via Level I Fluid Warmer