Trauma management during tragic years of lebanon part iii
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Post PneumonectomyPulmonary Edema
1. Right Pneumonectomy. 2. Acute lung injury.3. Fluid overload4. Pulmonary hypertension complicated by
right ventricular failure. 5. Unbalanced post operative chest
drainage
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Con: Continues Blood Monitoring Should Not Be A Standard During Cardiopulmonary Bypass
Robert G.Merin
Finally, I find it somewhat peculiar that my worthy opponent, Dr Anis Baraka, should be arguing in favor of this expensive high technology piece of equipment. All of us in
anesthesia and surgery who are acquainted with Dr Baraka marvel at his ability to continue practicing high quality anesthesia through the ravages of the war in Beirut,
Lebanon. In addition, the fact that he has been able to continue to publish high-quality scientific investigations in the face of an almost untenable situation is a tribute to his
talents and courage. However, it seems to me extremely unlikely that Dr Baraka's hospital could consider the initial expense of this piece of equipment or the probable
maintenance costs. I would hope that the abusive medical and legal climates that exist in the United States will not sp read to Europe and the Middle East.
CONTINUOUS BLOOD GAS MONITORING SHOULD BE A STANDARD DURING CARDIOPULMONARY BYPASS
Pro: Continuous Venous Oximetry Should Be Used Routinely DuringCardiopulmonary Bypass
Anis Baraka, MBBCh, DA, DM, MD, FC Anesth
PRO AND CONJ,Earl Wyands, MD, Editor
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TACHYPHYLAXIS TO CISATRACURIUM- Case Reports and Literature Review -
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Critical Illness Multiple Neuropathy and/ or Myopathy
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Bone et al. Chest 1992;101:1644
SIRSINFECTION
PANCREATITIS
BURNS
TRAUMA
OTHER
SEPSIS
SEVERESEPSIS
SEPTICSHOCK
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SIRSWidespread inflammatory response, >=2
Temperature > 38°C or < 36°CHeart rate > 90 beats/ minRespiratory rate of > 20 breaths/ min or PaCO2 < 32mmHgWBC >12,000 , <4000 cells/ mm3 or >10% bands
SEPSISSystemic response to infection(SIRS + Infection)
SEVERE SEPSISSepsis associated with organ dysfunction, hypoperfusion, or hypotension
SEPTIC SHOCKSepsis with hypotension and hypoperfusion despite adequate fluid resuscitation
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Treatment
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