[HSF] RV failure management strategies

prasannasimha prasannasimha at gmail.com
Fri Dec 1 18:29:04 EST 2006


I do agree that pharmacological dilatation was the event but I hadn't 
seen such "fixed and dilated" pupils so far !! (I had personally seen it 
) And bilateral dilated fixed pupils do not necessarily diagnose brain 
death .
I got a list of non brain death causes of dilated fixed pupils !!
Prasanna
Hgrmd at aol.com wrote:
> 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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