[HSF] RV failure management strategies

Hgrmd at aol.com Hgrmd at aol.com
Fri Dec 1 07:16:43 EST 2006


Look, Prasanna, I'm not going to argue about whether the patients eyes are  
truly fixed and dilated.  If they are, by definition, the patient is brain  
dead.  However, I've seen plenty of cases where the nurses said the pupils  were 
"fixed and dilated" after receiving epi during a resuscitation, only to  
observe complete neurologic recovery within a few hours.  Obviously, the  pupils 
are quite dilated from a pharmacologic origin, and they  probably imperceptibly 
constrict with light. 
Hal 


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