just wondering if anybody here can give me an easy explanation of this phenomenon...
my patient last night was diagnosed with this. he was emer. cabg X4, IABP, fentanyl, epi, levophed, dopamine, bicarb, insulin drips, pressure problems, very acidotic (17 amps of bicarb given), troubles with potassium, temperature of 105 faren. per swan
the anesthesiologist was explaining this, however i was too worried about cooling him down, fixing his v-tach, and playing with the vent, getting the timing right on the IABP, fixing his CI of 6.3, and taking orders from 3 different doctors. that i missed some of the points. did i hear right that this can be/is caused by certain types of anesthesia?
also...we cave dantrolene, however we couldn't finish the drip because his cardiac function. his numbers went WAY down. but, his acidosis reversed. did the drip cause this? it was fixed for the rest of the night.
anyways, we ended up with a perfusionist cooling his blood, and CVVHD. i know this is a lot to swallow, but if anybody can explain it to me...i would be greatful.
just can't wait to see his condition tonight. if he is still alive.