NIR - New Research tool for hypovolemia & Vasopressors, etc.

[KMATTOX at aol.com]

In a message dated 8/5/2007 5:02:24 P.M. Central Daylight Time, ih7 at msn.com  
writes:

We're  specifically interested in doing research in this area, perhaps 
starting with  case studies using pressors,
and the TBI pts.  might be the best to  start with due to what K is saying in 
his email: 

this of course  contradicts the "no vasopressors in hypovolemic patient "  
dogma.



This is a PERFECT area for NIR as a monitoring tool for an end point of  
perfusion and oxygen consumption, IF THE PROBES went deep enough into the brain  
to measure the continuing oxygen extraction and  perfusion.      
 
It is my view that we have bowed to the shrine of the BP as an end point  and 
resuscitation measure for FAR TOO LONG.      It has  been members of this 
list server that have led the world in putting the  sphygmomanometer into the 
curiosity section of the Medical Museum.    Karim, I can see a corner of the 
Hunter Museum at the Royal College of Surgeons  in about 5 years having a display 
of the sphygmomanometer with a card to explain  to those viewing this archaic 
instrument as something which mislead generations  of physicians, nurses and 
patients.  
 
k



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