Document Detail

Isobaric bupivacaine for spinal anaesthesia in acute war injuries.
MedLine Citation:
PMID:  6742387     Owner:  NLM     Status:  MEDLINE    
Twenty nine patients with acute war injuries of the lower limbs or perineum were anaesthetised with intrathecal bupivacaine. Eleven patients (38%) were shocked on arrival with systolic arterial blood pressures less than 90 mmHg; in three the blood pressure was unrecordable . All patients were resuscitated and ready for surgery within 30 minutes of arrival at the field hospital. Hypotension occurred two minutes after injection of bupivacaine in three of the eleven shocked patients, but was corrected with fluids and metaraminol without difficulty. Patients with a fever were found to be less likely to develop hypotension. The early onset of hypotension and the necessity for a head-down tilt gives bupivacaine a significant advantage over hyperbaric agents, and the technique can be recommended.
J F Bion
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Anaesthesia     Volume:  39     ISSN:  0003-2409     ISO Abbreviation:  Anaesthesia     Publication Date:  1984 Jun 
Date Detail:
Created Date:  1984-07-27     Completed Date:  1984-07-27     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370524     Medline TA:  Anaesthesia     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  554-9     Citation Subset:  AIM; IM; S    
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MeSH Terms
Acute Disease
Anesthesia, Spinal* / adverse effects
Blood Pressure
Bupivacaine* / adverse effects
Fever / complications
Hypotension / etiology
Leg Injuries / surgery*
Middle Aged
Perineum / injuries*
Shock, Traumatic / therapy
Specific Gravity
Reg. No./Substance:

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