[Red Flag 1]

SS

In my residency with the Air Force, we were providing anesthesia for total joint replacement. Total joint replacement at that time was relatively new and there were no guides and cutting jigs that are in use today. Blood loss was always a problem and cases could take up to, and sometimes over, 4hrs. One of the ways we would address blood loss was to help prevent it buy using deliberate hypotention. In addition to the depressant effects of volitile agents we would add an alpha blocking agent such as Pentolinium, Regitin, or Sodium Nitropresside. I liked the Nipride because it was easy to control and it was neat to have the foil wrapped IV bag up @ the head of the table. All hypotensive cases were done with direct hemodynamic monitoring as a matter of course. We were also using this technique on several other cases like mulit-level lamies, etc.


Nice case you had !! I'll bet the IVC was fun.

RF 1