[HSF] Inotropes, ventricular fibrillation and myocardial protection

Ben Bidstrup benjamin.bidstrup at bigpond.com
Wed Aug 1 15:42:09 EDT 2007


Well argued. I cannot take issue with your strategy. If amio is used 
for a short while, I guess the depression is likely to be small.
Needs an RCT!


>Ben,
>   I essentially replaced lido with amio about a year and half ago at  the
>behest of an excellent German anesthesiologist with whom I worked. 
>So  far, I've
>had no regrets.  Amio seems to be more effective in stopping  ventricular
>arrhythmias, plus it also takes care of the atrial ones.  I've  yet 
>to identify
>amio-associated pulmonary injury, though I'm well aware of this  possibility. 
>Does lidocaine truly cause less LV despression than  amiodorone?  If so,
>that's news to me.  As for cost, I generally don't  use much amio 
>for very long. 
>My main concern is performance.
>
>Hal
>
>
>
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-- 
Ben Bidstrup FRACS FRCSEd FEBCTS
Consultant Cardiothoracic Surgeon

Two things are infinite; the universe and human stupidity; and I am 
not sure about the universe.
Albert Einstein

The greatest obstacle to discovery is not ignorance --- it is the 
illusion of knowledge.
Daniel J Boorstin




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