Thread subject: NEPI :: Trauma and Fluid resuscitation

Posted by maroju on 08-02-2008 16:42
#3

How effective is your assessment of LV dysfunction during FAST going to be? Will it give you the true picture of the actual dysfunction? It could well be masked by the false picture of a myocardium, what with all the 'adrenaline' flying around in this patient who was just involved in a RTA.

I personally donot think that pushing the patient into 'heart-failure' with fluids is a major issue at this point as this can be easily corrected. However underfilling a patient in shock could be (not in the scenario I mentioned) what with all the problems of MOF/ARDS/Cerebral Hypoxia etc.

Any takers for 'permissive hypotension'??