Intra-operative Permissive Hypotension

• Previous message: Intra-operative Permissive Hypotension
• Next message: Intra-operative Permissive Hypotension - How do you accomplish / prefer...?
• Messages sorted by: [ date ] [ thread ] [ subject ] [ author ]

Yes. This was post op anesthesia resolution in a young "energetic" patient. At the time of initial surgery the operative field was dry before moving to the TICU. The patient received full resuscitation. And yes that is my question. Can we extend the true benefits of permissive hypotension to the OR and to the SICU?


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 10:45 AM
To: trauma-list at trauma.org
Subject: Re: Intra-operative Permissive Hypotension

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


**************From Wall Street to Main Street and everywhere in between, stay 
up-to-date with the latest news. (http://aol.com?ncid=emlcntaolcom00000023)
--
trauma-list : TRAUMA.ORG
To change your settings or unsubscribe visit:
http://www.trauma.org/index.php?/community/

• Previous message: Intra-operative Permissive Hypotension
• Next message: Intra-operative Permissive Hypotension - How do you accomplish / prefer...?
• Messages sorted by: [ date ] [ thread ] [ subject ] [ author ]