[HSF] acute aortic insuffiency dure to BE

[Hgrmd at aol.com]

Erdinc,
  IV in the subclavian artery?  What's the status of the hand on  that side?  
Years ago, I remember some locum tenens anesthesiologist was  caught 
accidentally giving induction meds down my patient's radial A-line.   The only way we 
picked it up was that the patient screamed in pain as the meds  went to the 
affected hand.  Fortunately, no harm done, but that was the  last case that 
anesthesiologist ever did for me.
  Anyway, good luck with your patient.  Hopefully, induction will  be a 
little smoother this time.  In the absence of CAD, I can't think of a  good reasaon 
for your patient collapsing hemodynamically at induction.   Sound like bad 
anesthesia to me. Before you do the operation, I would definitely  review 
protocols with this anesthesiologist.
Hal
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