id	author	title	date	pages	extension	mime	words	sentence	flesch	summary	cache	txt
anesthj-168	Walker, Gage	Protamine Reaction in Cardiovascular Surgery	2023	2	.pdf	application/pdf	1950	77	39	Intubation: DL x 1, Grade I view, ETT 8.0 • Maintenance: Sevoflurane titrated to effect, IVP sufentanil, vecuronium for muscle relaxation • Emergence: Postoperative ventilatory support, dexmedetomidine infusion @ 0.5 mcg/kg/hr • Severe reaction after administration of protamine with BP dropping as low as 32/17 mmHg • Treated with norepinephrine, epinephrine, vasopressin and calcium chloride • Methylene blue was administered, and the patient was placed on an IABP • Decision: to heparinize again and place the patient back on CPB • Known hemodynamic effects are associated with protamine and on rare occasions, true anaphylaxis.	cache/anesthj-168.pdf	txt/anesthj-168.txt