| Isobaric bupivacaine for spinal anaesthesia in acute war injuries. | |
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MedLine Citation:
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PMID: 6742387 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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J F Bion |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Anaesthesia Volume: 39 ISSN: 0003-2409 ISO Abbreviation: Anaesthesia Publication Date: 1984 Jun |
Date Detail:
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Created Date: 1984-07-27 Completed Date: 1984-07-27 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0370524 Medline TA: Anaesthesia Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 554-9 Citation Subset: AIM; IM; S |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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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:
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2180-92-9/Bupivacaine |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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