- Joined
- Dec 12, 2008
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Hi all,
Had a pt in ICU (ARF - dialysis dependent in septic shock maybe line was the source) . Line removed, all cultures negative so far, he is anuric and dependent on dialysis. He was in shock, 4 pressors and our new Pulm / CCM doc from Cleveland gave him a gigantic dose of gentamycin (400 mg around 5 mg / kg) I was initially shocked given the docummented ototoxicity then he explained that it has shown to improve mortality in refractory septic shock and actually pt is doing better this am.
He did not provide the evidence, I looked @ pubmed and did not find that either.
Any thoughs about that??
Thanks
N/A
Had a pt in ICU (ARF - dialysis dependent in septic shock maybe line was the source) . Line removed, all cultures negative so far, he is anuric and dependent on dialysis. He was in shock, 4 pressors and our new Pulm / CCM doc from Cleveland gave him a gigantic dose of gentamycin (400 mg around 5 mg / kg) I was initially shocked given the docummented ototoxicity then he explained that it has shown to improve mortality in refractory septic shock and actually pt is doing better this am.
He did not provide the evidence, I looked @ pubmed and did not find that either.
Any thoughs about that??
Thanks
N/A