List Archives

Tue Jan 27 14:19:18 GMT 2009

There was a bunch of stuff at EAST last year (Jan '08) some of which
showed decreased mortality in head injured patients with Heart Rate
Uncoupling — was pretty cool but you needed special monitors that
could measure R-R variability.

Bill

William J. Bromberg, MD, FACS
Savannah Surgical Group
912 350-7412

>>> Robert Smith <rfsmithmd at comcast.net> 1/27/2009 9:15 AM >>>
This is definitely not my field but I thought I remembered our rehab  
doc feeling that Beta blockers improved cognitive outcome by  
mechanisms that were unclear. This was some time ago. A quick look at 

PubMed seems to show that there are studies which show improved  
survival in patients exposed to beta blockers, again without a clear  
mechanism and there seems to be a consensus for using them to treat  
agitation and aggression post TBI.

Rob Smith

On Jan 27, 2009, at 9:04 AM, Ante Ćorić wrote:

> why use b blockage in patients with TBI? if they do need extra  
> medications
> to reduce increased ICP a better approach for me is anesthetized  
> patients,
> preferably tiopentanol or ever propofol, and with that you get a  
> seizure
> prophylaxis and if required they can be hyperventilated easily.
> Ante
>
> 2009/1/27 <nappio at aol.com>
>
>> Maybe the lower pressure helps reduce reperfusion injury.dn
>> ------Original Message------
>> From: errington at erringtonthompson.com 
>> Sender:
>> To: Trauma &amp; Critical Care mailing list
>> To: Robert Smith
>> ReplyTo: Trauma &amp; Critical Care mailing list
>> Sent: Jan 26, 2009 17:19
>> Subject: beta blockers in TBI
>>
>> Who is using beta-blockers in TBI?  This seems to be a trend to me.
>> Everything is better with beta-blockers.  There are a couple of
>> studies which seem to show benefit.  the whole rationale doesn't
make
>> any sense to me.
>>
>> Thoughts?
>>
>> Errington
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beta blockers in TBI