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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed With COPD And LV Dysfunction. On Mechanical Ventilator.Had Breathlessness And Cardiac Arrest After SMOF Liquid Infusion. Right Treatment?

My dad was diagnosed with COPD and LV dysfunction. He was on mechanical ventillator for 4 days and he came out of it. Later the doctors administered SMOFlipid infusion during the night.The next day morning he had severe breathlessness and had cardiac arrest . His chest X ray showed lots of whiteshadows on the morning. He was alright the night , before he was administered SMOFLipid infusion, with oxygen therapy .I suspect that he should not have been administered SMOFLipid in his medical condition. I read a bit about SMOFLipid and it mentions that it should not be administered to patients with Pulmonary Odema and decompensated cardiac function. I just want to know that this was a wrong step by the doctors, so that they dont repeat this mistake in future to other patients
Mon, 21 Jan 2013
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Cardiac Surgeon 's  Response
The reason for cardiac arrest would be aspiration or ARDS looking at the x ray finding. COPD patients are more prone for infection also. SMOFLipid may not be the cause for that. It may be just coincidence.
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Diagnosed With COPD And LV Dysfunction. On Mechanical Ventilator.Had Breathlessness And Cardiac Arrest After SMOF Liquid Infusion. Right Treatment?

The reason for cardiac arrest would be aspiration or ARDS looking at the x ray finding. COPD patients are more prone for infection also. SMOFLipid may not be the cause for that. It may be just coincidence.