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Permissive hypotension in the extremely low birthweight infant with signs of good perfusion
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  • Published on:
    Is permissive hypotension safe?

    We read with interest the paper by Dempsey and colleagues regarding permissive hypotension in low birth weight infants. We are unsure that the data as presented fully supports some of the conclusions drawn.

    Those infants in whom hypotension was treated were deemed to be unwell by the clinicians looking after them. This appears to have been a sicker group at outset in terms of clinical and crib assessment. These...

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    Conflict of Interest:
    None declared.
  • Published on:
    Should permissive oliguria and anuria be added to permissive hypotension?

    These findings have a rational metabolic amplified in a succession of earlier rapid responses to this and other BMJ publications. Permissive hypotension was the norm in adalts following, for example, abdominal aortic surgery until the advent of "haemodynamic management", that is optimizing filling pressures and maintaining a blood pressure high enough to ensure glomerular filtration and a good urine output.

    Wit...

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    Conflict of Interest:
    None declared.