[HSF] Amiodarone, ARDS, and the Pump

[Michael Firstenberg]

There was a Circulation paper written many years ago when Amio first came
out.  I was written by a couple of my former mentors - a few isolated cases
tossed together in a report (would never be considered for Circ these
days).  Not a lot of science behind it.  We operate on a lot of patients who
are on Amio pre-op (often for many years) and give it intra-operatively when
needed.  We dont see much (if any) ARDS that I can recall being related to
this.

-michael


On 7/20/07, Ben Bidstrup <benjamin.bidstrup at bigpond.com> wrote:
>
> Why give it on CBP? Even less evidence. Sure, if you believe in it,
> give it pre CBP.
>
> >Dave,
> >   I've heard about the increased incidence of ARDS with amio given
> on  pump,
> >but have really never identified it in one of my patients.  This
> is  despite
> >the fact that I use it liberally during my valve cases.  In fact,  I've
> now
> >largely substituted it for lidocaine.  Am I wrong?  What is  the
> >real incidence
> >of clinically significant ARDS produced by amio given during  a pump run?
> >
> >Hal
> >
> >
> >
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> --
> Ben Bidstrup FRACS FRCSEd FEBCTS
> Consultant Cardiothoracic Surgeon
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