how would you approach this case

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GETA and find a CRNA to manage the case intraop. ----Zippy
 
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).
 
beezar said:
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).
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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. 👍
 
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