Trauma management during tragic years of lebanon   part iii
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Trauma management during tragic years of lebanon part iii

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Trauma management during tragic years of Lebanon part III

Trauma management during tragic years of Lebanon part III
By Professor Anis Baraka

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    Trauma management during tragic years of lebanon   part iii Trauma management during tragic years of lebanon part iii Presentation Transcript

    • Post Pneumonectomy Pulmonary Edema 1. Right Pneumonectomy. 2. Acute lung injury. 3. Fluid overload 4. Pulmonary hypertension complicated by right ventricular failure. 5. Unbalanced post operative chest drainage
    • 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 During Cardiopulmonary Bypass Anis Baraka, MBBCh, DA, DM, MD, FC Anesth PRO AND CON J,Earl Wyands, MD, Editor
    • TACHYPHYLAXIS TO CISATRACURIUM - Case Reports and Literature Review -
    • Critical Illness Multiple Neuropathy and/ or Myopathy
    • Bone et al. Chest 1992;101:1644 SIRSINFECTION PANCREATITIS BURNS TRAUMA OTHER SEPSIS SEVERE SEPSIS SEPTIC SHOCK
    • SIRS Widespread inflammatory response, >=2 Temperature > 38 C or < 36 C Heart rate > 90 beats/ min Respiratory rate of > 20 breaths/ min or PaCO2 < 32mmHg WBC >12,000 , <4000 cells/ mm3 or >10% bands SEPSIS Systemic response to infection(SIRS + Infection) SEVERE SEPSIS Sepsis associated with organ dysfunction, hypoperfusion, or hypotension SEPTIC SHOCK Sepsis with hypotension and hypoperfusion despite adequate fluid resuscitation
    • Treatment