Document Detail


Isobaric bupivacaine for spinal anaesthesia in acute war injuries.
MedLine Citation:
PMID:  6742387     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
J F Bion
Related Documents :
18683477 - "terlipressin in the treatment of septic shock: the earlier the better"?
18356627 - Measuring circulating blood volume using infused hemoglobin-based oxygen carrier (oxygl...
3425337 - Possibility of brain recovery after electrically induced cardiac arrest and reanimation...
10488937 - Paediatric basic life support: a practical assessment.
16952977 - Prediction of stroke by home "morning" versus "evening" blood pressure values: the ohas...
8911727 - Baroreflex control of coronary blood flow varies regionally in awake dogs.
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    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Acute Disease
Adolescent
Adult
Anesthesia, Spinal* / adverse effects
Blood Pressure
Bupivacaine* / adverse effects
Cambodia
Fever / complications
Humans
Hypotension / etiology
Leg Injuries / surgery*
Male
Middle Aged
Perineum / injuries*
Shock, Traumatic / therapy
Specific Gravity
Thailand
War*
Chemical
Reg. No./Substance:
2180-92-9/Bupivacaine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Contamination of hypodermic needles in anaesthetic practice.
Next Document:  Infusion analgesia for acute war injuries. A comparison of pentazocine and ketamine.