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Consider preoperative volume or blood product resuscitation prior to induction. If concerned about arterial rupture, allow permissive hypotension titrated to conciousness & don't delay surgical clamp
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Feb 05, 2012
Consider inserting a central venous catheter if significant blood loss (to monitor drop in preload) or if inotropes expected
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Apr 05, 2012
Book HDU/ICU postop if the patient is acidotic. Post laparotomy respiratory acidosis from splinting may exacerbate existing metabolic acidosis.
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Apr 05, 2012