how would you approach this case

[ThinkFast007]

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check this out.

How would one approach this case

http://www.microsurgeon.org/fore_replant.htm

(I hope you dont have a full stomach) 😉

 

[jetproppilot]

check this out.

How would one approach this case

http://www.microsurgeon.org/fore_replant.htm

(I hope you dont have a full stomach) 😉

Awesome surgeons. Give 'em a hand!

 

[Noyac]

I'd do a Bier Block.

 

[zippy2u]

GETA and find a CRNA to manage the case intraop. ----Zippy

 

[beezar]

I did a similar sort of case like this.. it was a traumatic arm amputation reimplant. We did a GETA. The thing you need to worry about is muscle breakdown leading to hyperkalemia, myoglobinuria, and renal failure. The guy's first K came back 6.4. So after treatment of the K, we gave him a lot of fluids, mannitol for renal protection, and ran a bicarb drip to alkalinize his urine (basically a rhabdomyolysis management).

 

[ThinkFast007]

I did a similar sort of case like this.. it was a traumatic arm amputation reimplant. We did a GETA. The thing you need to worry about is muscle breakdown leading to hyperkalemia, myoglobinuria, and renal failure. The guy's first K came back 6.4. So after treatment of the K, we gave him a lot of fluids, mannitol for renal protection, and ran a bicarb drip to alkalinize his urine (basically a rhabdomyolysis management).

That's actually very interesting.

I totally made this thread as a joke--to kinda get ppl's minds of of this interview thing! but what you said makes total sense! hopefully i'll remember about watching K if ever I get a case like this. 👍