Re: Gyn H/S Fluid Management
From: Joanne Bulley, MD (islesannie@yahoo.com)
Tue Jan 31 11:12:43 2006
Ditto, here. One big problem with glycine is that the bags are
overfilled - so that a 3L bag may well have 3.5 liters. So eyeballing
is a crap shoot.
The patient with the 9 L deficit -- when it did get to the lawyers
duking it out - the docs lawyer pointed at the OR personnel and the
Hospital lawyers pointed at the gyn doc. Not pretty.
Joanne
At Tue, 31 Jan 2006, Larry Glazerman wrote:
>
>With non-ionic media (glycine, sorbitol), I'd start to be concerned at
>around 500 ml, and probably stop at a liter.
>Twice that with saline.
>
>--
>Larry R. Glazerman, MD
>Ob-Gyn at Trexlertown, PC
>610-402-0161
>l.glazerman@rcn.com
>
>-----Original Message-----
>From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Elrod,
>Darryl G MAJ 48 MDOS/SGOBO
>Sent: Tuesday, January 31, 2006 3:01 AM
>To: Multiple recipients of list OB-GYN-L
>Subject: Re: Gyn H/S Fluid Management
>
>Joanne,
>
>I remember being asked at my oral boards at what level of discrepancy
>would I stop a case. Obviously 9 liters is a no brainer, but what is
>your usual breaking point?
>
>(I think I finally settled on 2 liters as my final answer)
>
>Glen
>
>//SIGNED//
>
>D. Glen Elrod, Maj., USAF, MC
>
>Obstetrician/Gynecologist
>
>Chief of Obstetrics
>
>48 MDOS/SGOBO
>
>RAF Lakenheath, England
>
>Telephone DSN: 314-226-8130
>
> Comm: +44 (0) 1638 52 8130
>
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--
Joanne Bulley, MD
Keene, NH, USA
"Love is indescribable and unconditional.
I could tell you a thousand things that it is not, but not one that it is."
— Duke Ellington, American jazz artist (1899-1974).
