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Fri Sep 7 03:30:43 BST 2007

In a message dated 9/6/2007 9:25:59 P.M. Central Daylight Time, ih7 at msn.com  
writes:

PE or  VOLUME LOADING

In trauma now virtually the whole world has abandoned VOLUME loading with  
crystalloid.   If the patient needs BLOOD, then the need for blood  does NOT 
need a TEE.    It has been this strategy that has  resulted in some of the lowest 
military mortalities since the beginning of  military trauma registries.     

Perhaps your trust in the technique has been shaken by many who know how to  
insert it in the esophagus, but not how to read it correctly

NOPE,  I have worked with some excellent anesthesiologist, surgeons,  
intensivists, and cardiologist.   I find in mitral valve REPAIRS that  regurgitation 
demonstrated post repair is helpful to change  therapy.    I find SHUNTS are 
diagnosed well by ECHO,    I just cannot swallow all of the other 
extrapolations made to justify a big un  necessary expense.  

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