[HSF] Fixed dilated pupil

[prasannasimha]

That's a nice one !!
Prasanna

Jacob Lavee, MD wrote:
> 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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