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Intra-operative Permissive Hypotension

Krin135 at aol.com Krin135 at aol.com
Thu Jan 29 16:45:03 GMT 2009


if you were getting 100 ml/hr from one kidney at a SBP of 88, then I'd have  
been happy. With the detail that the bleeding restarted when the SBP bounced 
to  140 (due to pain, catecholamine release, over hydration?), I'd have been 
even  happier to see the SBP stay between 100-120. 
 
Did you figure out the reason for the post op hypertension? My first guess  
(from the timing as the anesthesia wore off) would be less than effective post  
op analgesia with resulting catecholamine release. Was there a  concomitant 
tachycardia?
 
ck
Charles S. Krin, DO 
 
 
In a message dated 1/29/2009 10:38:29 Central Standard Time,  
jduchesn at tulane.edu writes:

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


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