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Post pneumonectomy pulmonary oedema
Mike Smertka medic0947969 at yahoo.comTue Feb 12 11:21:08 GMT 2008
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Dr. Mattox, Is there anyhting on the market to inhibit the cytokne release. In my hasty google search all I found were experimental. Mike KMATTOX at aol.com wrote: Karim: I have seen this in far too many fit young people. It is far more common than anyone writes about. Humans with acute cytokine release simply do not tolerate acute pneumonectomy and CRASH between 12 and 18 hours. Perhaps should be maimntained on membrane oxygenation and other supporting mechanisms for 3-5 days. I would suggest you consider a "lung twist" to damage control the bleeding. Take back to OR at 8-12 hours and reassess, and then back 8-12 hours to reassess. We need to talk about a good protocol and a good experimental model. k In a message dated 2/11/2008 9:33:47 P.M. Central Standard Time, karim at trauma.org writes: Initially did well, extubated at 24 hours, comfortable, haemoserous drainage from chest tubes. 12 hours later after a couple of transient dips in saturation developed acute pulmonary oedema, froth coming up the ET tube, and died within minutes. Any ideas? **************The year's hottest artists on the red carpet at the Grammy Awards. Go to AOL Music. (http://music.aol.com/grammys?NCID=aolcmp00300000002565) -- trauma-list : TRAUMA.ORG To change your settings or unsubscribe visit: http://www.trauma.org/index.php?/community/ --------------------------------- Be a better friend, newshound, and know-it-all with Yahoo! Mobile. Try it now.
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