[HSF] Fixed dilated pupil

[Nasser F. Abou'Seada]

a similar Case was published on the Net a few months ago ... 

NFA

> -----Original Message-----
> From: openheart-l-bounces at lists.hsforum.com [mailto:openheart-l-
> bounces at lists.hsforum.com] On Behalf Of prasannasimha
> Sent: Saturday, December 02, 2006 3:37 PM
> To: OpenHeart-L at lists.hsforum.com
> Subject: Re: [HSF] Fixed dilated pupil
> 
> 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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