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Thu Jan 29 16:37:46 GMT 2009

>100 cc/hour intra-op. Base deficit from -14 down to -3 after arrival to TICU. Operative time 45 minutes, temperature 36.2, coags corrected intra-op.
Initial creatinine 1.2 and plateau 48 hrs later to 1.8

Juan C Duchesne M.D., FACS, FCCP
Trauma and Critical Care Surgery Section
Medical Director Surgical Hospital Center
Medical Director Surgical Intensive Care Unit  
Louisiana ATLS / PHTLS State Faculty

Tulane University School of Medicine
1430 Tulane Ave., SL-22
New Orleans LA 70112-2699
Tel. 504-988-5111
Fax. 504-988-3683

-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org] On Behalf Of Krin135 at aol.com
Sent: Thursday, January 29, 2009 10:33 AM
To: trauma-list at trauma.org
Subject: Re: Intra-operative Permissive Hypotension

was there any urine out from the remaining kidney during this period?

ck
Charles S. Krin, DO 

In a message dated 1/29/2009 10:21:42 Central Standard Time,  
jduchesn at tulane.edu writes:

In  addition to the early and aggressive administration of blood products
and  plasma with limitation of crystalloids to aid in the resuscitation
of  severely injured trauma patients, permissive hypotension is an
essential  component of Damage Control Resuscitation a process that
starts from the  scene, into ED and into the OR. Once we start surgical
correction of  bleeding we forget about this process. Permissive
hypotension involves  keeping the blood pressure low enough to avoid
exsanguination while  maintaining perfusion of end organs. Is there a
benefit to extend this  process in the OR?  

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Intra-operative Permissive Hypotension