Neostigmine for Post operative Illeus

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> Dear Trauma list subscribers,
> I would like to know if you are using neostigmine to treat post operative
> illeus. Anybody has definite protocol for using the same.
>
> Dr. Navin Goyal
> India
Dear Navin

Yes, if I need to. First check that there is no mechanical obstruction,
correct all electrolyte abnormalities, stop all constipating drugs, then
try all other types of prokinetics. If all else fails - Neostigmine. Use
in standard dose mg/kg alone, in ICU on full monitoring - risk of
dysrhythmia. If no response - try one more time. If that does not work you
may need to try other options.

Tim
Dr T C Hardcastle
M.B., Ch.B. (Stell); M. Med. (Chir) (Stell); FCS (SA)
Principal Specialist Trauma Surgeon /
Honorary Lecturer UKZN Dept Surgery
Deputy Director - IALCH Trauma Service
Durban - South Africa

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