- Joined
- Apr 19, 2013
- Messages
- 126
- Reaction score
- 7
60yo , previous stroke without residual for sitting shoulder arthroscopy
on ACE inhibitor and clonidine
preop interscalene block
in or preop bilat cerebral sat on room air supine 40%
after induction BP to 60/30 Csat 20%
treated with phenylephrine, ephedrine bolus with transient rise in BP, Csat to 30%
FiO2 to 1, ETCO2 to 43, head position checked, bolus IVF, reduce volatile agent
Csat still 30%
what next??
on ACE inhibitor and clonidine
preop interscalene block
in or preop bilat cerebral sat on room air supine 40%
after induction BP to 60/30 Csat 20%
treated with phenylephrine, ephedrine bolus with transient rise in BP, Csat to 30%
FiO2 to 1, ETCO2 to 43, head position checked, bolus IVF, reduce volatile agent
Csat still 30%
what next??