The alternative????? - What do you advocate??
Simon Carley
SpR in Emergency Medicine
Manchester Royal Infirmary
Manchester
England
[log in to unmask]
-----Original Message-----
From: Doc Holiday <[log in to unmask]>
To: [log in to unmask] <[log in to unmask]>
Date: 23 February 2000 00:39
Subject: Re: VT and acidosis
>Definition: Bier's Block
>
>A method for inducing arrhythmias in a patient who is "on no medication,
had
>no prior history of heart disease, and who had a normal pre-op ECG."
>
>Can't think of any other indications...
>
>
>>From: "Cliff Reid" <[log in to unmask]>
>>Reply-To: [log in to unmask]
>>To: [log in to unmask]
>>Subject: Re: VT and acidosis
>>Date: Sun, 20 Feb 2000 07:31:30 PST
>>MIME-Version: 1.0
>>X-Originating-IP: [195.99.125.202]
>>Received: from [128.240.226.11] by hotmail.com (3.2) with ESMTP id
>>MHotMailBA79541B0025D820F3A980F0E20BC65D0; Sun Feb 20 07:32:47 2000
>>Received: from naga.mailbase.ac.uk (naga.mailbase.ac.uk [128.240.226.3])by
>>mailout1.mailbase.ac.uk (8.9.1a/8.9.1) with ESMTP id PAA20102;Sun, 20 Feb
>>2000 15:32:42 GMT
>>Received: (from daemon@localhost) by naga.mailbase.ac.uk
>>(8.8.x/Mailbase) id PAA15636; Sun, 20 Feb 2000 15:32:06 GMT
>>Received: from hotmail.com (f25.law3.hotmail.com [209.185.241.25])
>>by naga.mailbase.ac.uk (8.8.x/Mailbase) with SMTP id PAA15578; Sun,
>>20 Feb 2000 15:32:00 GMT
>>Received: (qmail 48321 invoked by uid 0); 20 Feb 2000 15:31:30 -0000
>>Received: from 195.99.125.202 by www.hotmail.com with HTTP;
> Sun, 20 Feb 2000 07:31:30 PST
>>From [log in to unmask] Sun Feb 20 07:37:22 2000
>>Message-ID: <[log in to unmask]>
>>X-List: [log in to unmask]
>>X-Unsub: To leave, send text 'leave acad-ae-med' to
[log in to unmask]
>>X-List-Unsubscribe:
>><mailto:[log in to unmask]>
>>Sender: [log in to unmask]
>>Errors-To: [log in to unmask]
>>Precedence: list
>>
>>
>>>I've seen horrible-looking arrhytmias after ischaemic legs have been
>>>reperfused in theatre, so could well be "washout".
>>>
>>
>>Yesterday I saw a 30-second run of multifocal PVCs on the monitor occuring
>>about 30 seconds to a minute after deflating the cuff used for a Bier's
>>block on an 80 year old lady with a colles' # who was on no medication,
had
>>no prior history of heart disease, and who had a normal pre-op ECG.
Thought
>>this might be a similar phenomenon. The cuff had been inflated for 30
>>minutes after the prilocaine injection so local anaesthetic cardiotoxicity
>>is unlikely.
>>
>>A Medline search using the strategy:
>>
>>1 Arrhythmia/ 34354 Display
>>2 exp Reperfusion/ 5365 Display
>>3 1 and 2 209 Display
>>4 limit 3 to (human and english language) 40
>>
>>didn't reveal anything on this.
>>
>>Cliff Reid
>>SpR in (A&)EM
>>North Hampshire Hospital
>>
>>______________________________________________________
>>Get Your Private, Free Email at http://www.hotmail.com
>>
>
>______________________________________________________
>Get Your Private, Free Email at http://www.hotmail.com
>
>
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
|