A technique of anaesthesia in haemorrhagic shock. Illustrative case histories and a discussion.

Anaesthesia
R G McGown

Abstract

The anaesthetic management of patients in haemorrhagic shock is described. The principles are those of initial resuscitation with electrolyte solutions and alleviation of metabolic acidosis, combined with early induction of anaesthesia to permit control of bleeding as soon as possible. The anaesthetic technique depends on pre-oxygenation, intravenous anaesthesia, muscular relaxation and ventilation with pure oxygen. Earlier cases were induced with thiopentone and maintained with intermittent suxamethonium, but intravenous ketamine was later employed for induction and intramuscular ketamine for maintenance; this use of ketamine is now the author's method of choice. The use of a central venous pressure line connected to a cannula in the internal jugular vein is recommended.

References

Oct 1, 1971·Anesthesiology·K MoriM Fujita
Jan 1, 1972·Annual Review of Medicine·G S Moss
Jan 1, 1974·Anaesthesia·A C Bond, C K Davies
Mar 1, 1974·Anaesthesia·M S SchwartzD F Scott
Jun 1, 1972·Anesthesiology·J M CivettaM Gemer
Oct 1, 1969·Anaesthesia·I C EnglishM Zaki
Jun 19, 1971·British Medical Journal·P A Taylor, R M Towey
Sep 1, 1968·Anesthesiology·E G Dowdy, K Kaya
Sep 1, 1969·Archives of Surgery·B D LoweryL C Carey
Mar 1, 1959·The Journal of Clinical Investigation·P H GERSTD A HOLADAY
May 1, 1961·The Journal of Surgical Research·J SALZANO, F G HALL
Apr 1, 1964·Archives of Surgery·T SHIRESS LIGHTFOOT

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Citations

Nov 1, 1976·The Australian and New Zealand Journal of Surgery·R W Beal
Oct 14, 2008·The Journal of Trauma·Michael S EnglehartMartin A Schreiber
Jan 11, 2018·Acta Cirúrgica Brasileira·Simone Alves Dos Santos FerreiraMarcos Mello Moreira
Jul 22, 2017·European Journal of Anaesthesiology·Georges Mion

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