[HSF] Fixed dilated pupil

[Jacob Lavee, MD]

Prasanna,
Another unique pharmacologic etiology for unilateral fixed dilated pupil is 
"leakage" of mask-inhaled bronchodilator, such as salbutamol or albuterol, 
from the nasal corner of the mask directly into one of the eyes.

Jay Lavee

----- Original Message ----- 
From: "prasannasimha" <prasannasimha at gmail.com>
To: <OpenHeart-L at lists.hsforum.com>
Sent: Friday, December 01, 2006 2:59 PM
Subject: Re: [HSF] RV failure management strategies


>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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