Pic1 : Time 13 :07
HR 111, BP: 125/74
HR ... BP : 54 / 39 ( Mean BP - 45 )
Pic 3 shows Time 13.09
HR 110 , BP 26/ 19 ( Mean 22 )
PIC : 4 Time 13.10
HR 71 , BP 20 / 13 ( Mean 13 )
PIC : 5 Time 13.11
HR 52 , BP 28/ 13 ( Mean 15 )
PIC 5 shows Time 13.12
HR 55 , BP 55/39
PIC 6 shows Time 13.13
HR 93 BP 28/ 19
What you have to do is push and push the blood through the canula by a 20 ml syringe , push and push & push
Theere was no use of ionotrops, no ephedrine, no mephenteramine.......And after
PIC 7 : Time 13.49
HR 108 BP 72 / 47 ( Mean 58 )
The patient had a remarkable recovery after another 6 hours of continued surgery under epidural anaesthesia, sedation, 10. 5 Lits of I/V fluid including 6 Inits of blood transfusion, 2 units of Hesta starch, and an Injection of Lasix. As the graph shows the Blood pressure next few hours were around 80 mmhg systolic and 45 -50 mm Diastolic
Post operatively ,there was no renal shutdown or dysfunction.
This was possible because the hypotension was of short duration ........ and the mean blood pressure was around 50~60 mmHg. intraoperatively .