Advertisement
Research Article| Volume 2, ISSUE 4, P717-746, October 1986

Anesthesia for Trauma

  • Charles B. Watson
    Correspondence
    Corresponding author: Department of Anesthesiology, North Carolina Memorial Hospital, Manning Drive, Chapel Hill, NC 27514
    Affiliations
    Associate Professor of Anesthesiology/Critical Care Medicine, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina

    Medical Director of Respiratory Therapy and Medical Director, Post-Anesthetic Recovery and Acute Care Units, North Carolina Memorial Hospital, Chapel Hill, North Carolina
    Search for articles by this author
  • Edward A. Norfleet
    Affiliations
    Associate Professor of Anesthesiology, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina

    Director of Cardiothoracic Anesthesia, North Carolina Memorial Hospital, Chapel Hill, North Carolina
    Search for articles by this author
DOI:https://doi.org/10.1016/S0749-0704(18)30576-1
Anesthesia for Trauma
Previous ArticleInitial Management of the Trauma Patient
Next ArticleManagement of Spinal Cord Injury in the Critical Care Setting
      This paper is only available as a PDF. To read, Please Download here.
      This article presents basic anesthetic management problems and procedures together with newer anesthetic drugs and monitoring techniques that are likely to be encountered by intensive care physicians. The author’s goal is to familiarize all critical care unit based members of the resuscitation team with current aspects of anesthetic management of the trauma patient.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribers receive full online access to your subscription and archive of back issues up to and including 2002.

      Content published before 2002 is available via pay-per-view purchase only.

      Subscribe:

      Subscribe to Critical Care Clinics
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Register: Create an account
      Institutional Access: Sign in to ScienceDirect

      References

        • Ali H.H.
        • Savarese J.J.
        Monitoring of neuromuscular function.
        Anesthesiology. 1976; 45: 216
        • Allolio B.
        • Stuttman R.
        • Fisher H.
        • et al.
        Long-term etomidate and adrenocortical suppression.
        Lancet. 1983; 2 (letter): 626
        • Azar I.
        • Karambelker D.J.
        • Lear E.
        The arousal state and incidence of abnormal neurologic signs during recovery from balanced anesthesia, enflurane and isoflurane.
        Anesthesiology. 1982; 57: A343
        • Bennett M.J.
        • Hahn J.F.
        Potentiation of the combination of pancuronium and metocurine by halothane and enflurane.
        Anesth. Analg. 1983; 62: 251
        • Bogetz M.S.
        • Katz J.A.
        Recall of surgery for major trauma.
        Anesthesiology. 1984; 61: 6-9
        • Boonj L.H.D.J.
        Pitfalls in anesthesia for multiple injured patients.
        Injury. 1984; 14: 81-88
        • Bovill J.G.
        • Sebel P.S.
        • Blackburn M.B.
        • et al.
        The pharmacokinetics of sufentanil in surgical patients.
        Anesthesiology. 1984; 61: 502-506

      8. Boyd, D.R., Pizzano, W.A., Romano, T.L., et al.: Regionalization of trauma patient care: The Illinois experience. Surg. Annu., pp. 25–62, 1975.

        • Brock-Utne J.G.
        • Rubin J.
        • Dimopodilos G.E.
        • et al.
        The effects of glycopyrrolate on the lower esophageal sphincter.
        Can. Anaesth. Soc. J. 1978; 25: 144-146
        • Bromage P.R.
        Extradural analgesia for pain relief.
        Br. J. Anaesth. 1967; 39: 721-729
        • Bromage P.R.
        • Camporesi E.
        • Chestnut D.
        Epidural narcotics for postoperative analgesia.
        Anesth. Analg. 1982; 59: 473-480
        • Cales R.H.
        Trauma mortality in Orange County: Effect of implementation of regional trauma system.
        Ann. Emerg. Med. 1984; 13: 1-10
        • Chappie D.J.
        • Clark J.S.
        Pharmacologic action on breakdown products of atracurium and related substances.
        Br. J. Anaesth. 1983; 55: 115-165
        • Chappie D.J.
        • Miller A.A.
        • Wheatley P.L.
        Neurological and cardiovascular effects of laudanosine in conscious and anesthetized dogs.
        Anesthesiology. 1985; 63: A311
        • Clemmen T.P.
        • Orntie J.F.
        • Thomas F.O.
        • et al.
        Outcome of critically ill patients treated at level 1 trauma centers versus full-service community hospitals.
        Crit. Care Med. 1985; 13: 861-863
        • Council on Scientific Affairs
        Automobile related injuries.
        J.A.M.A. 1983; 249: 3216
        • Council on Scientific Affairs
        Alcohol and the driver.
        J.A.M.A. 1986; 255: 522-527
        • Dittmann M.
        • Steenblock U.
        • Kranzlin M.
        • et al.
        Epidural anesthesia or mechanical ventilation for multiple rib fractures?.
        Intensive Care Med. 1982; 8: 89-92
        • Drummond G.B.
        Factors influencing the control of breathing.
        Int. Anesthesiol. Clin. 1984; 4: 59-75
        • Feigal D.W.
        • Blaisdell F.W.
        The estimation of surgical risk.
        Med. Clin. North Am. 1979; 63: 1131
        • Feldman S.A.
        Muscle Relaxants. Major Problems in Anesthesia.
        Edition 2. W.B. Saunders Co., Philadelphia1979
        • Fisher D.M.
        • Canfel C.
        • Fahey M.S.
        • et al.
        Elimination of atracurium in humans: Contribution of Hoffman elimination and ester hydrolysis.
        Anesthesiology. 1985; 63: A310
        • Giesecke A.H.
        Anesthesia for trauma surgery.
        in: Miller R.D. Anesthesia. Churchill Livingstone, New York1981
        • Giesecke A.H.
        • Satiani B.
        • Bonner J.T.
        • et al.
        Factors influencing intraoperative gastric regurgitation.
        Arch. Surg. 1978; 113: 721
        • Hug C.C.
        • Murphy M.R.
        Tissue redistribution of fentanyl and termination of its effects in rats.
        Anesthesiology. 1981; 55: 369-375
        • Insel J.
        • Weissman C.
        • Kemper M.
        • et al.
        Cardiovascular changes during transport of critically ill and post-operative patients.
        Crit. Care Med. 1986; 14: 539-542
        • Jacobs L.M.
        • Sinclair A.
        • Beiser A.
        • et al.
        Prehospital advanced life support.
        J. Trauma. 1984; 24: 8-13
        • Kousted P.
        • Price M.L.
        • Price H.L.
        The effects of short-acting barbiturates on arterial pressure, pre-ganglionic sympathetic activity and barostatic reflexes.
        Anesthesiology. 1970; 33: 10-18
        • Lebowitz P.W.
        • Ramsey F.M.
        • Savarese J.J.
        • et al.
        Combination of pancuronium and metocurine: Neuromuscular and hemodynamic advantages over pancuronium alone.
        Anesth. Analg. 1981; 60: 12-17
        • Ledingham I.M.
        • Watt I.
        Influences of sedation on mortality in critically ill multiple trauma patients.
        Lancet. 1983; 1: 1270
        • Lee J.F.
        • Samuelson R.J.
        • Watson T.D.
        • et al.
        Anesthesia for trauma: Is blood alcohol level a factor?.
        Tex. Med. 1974; 70: 84
        • MacKenzie N.
        Comparison of a pulse-oximeter with an ear oximeter and an in vitro oximeter.
        J. Clin. Monit. 1985; 1: 156-160
        • McClain D.A.
        • Hug C.C.
        Intravenous fentanyl kinetics.
        Clin. Pharmacol. Then. 1980; 28: 106-114
        • McClain D.A.
        • Hug C.C.
        Pharmacodynamics of opiates.
        Int. Anesthesiol. Clin. 1984; 4: 75-94
        • Mihin F.G.
        • Halperin B.D.
        Non-invasive monitoring of respiratory failure with pulse oximetry and capnography.
        Anesthesiology. 1983; 59: A136
        • Miller R.D.
        • Morris R.B.
        Muscle relaxants.
        in: Kaplan J.A. Cardiac Anesthesia. Volume 2. Cardiovascular Pharmacology. Grune and Stratton, New York1979
        • Murray I.P.
        • Modell J.H.
        Early detection of endotracheal tube accidents by monitoring carbon dioxide concentration in respiratory gas.
        Anesthesiology. 1983; 59: 344-346
        • New W.
        Pulse oximetry.
        J. Clin. Monit. 1985; 1: 126-129
        • Ovassapian A.
        • Krejcie T.
        • Yelich S.J.
        Awake fiberoptic intubation of patient with a full stomach.
        Anesthesiology. 1984; 61: A134
        • Rosenburgh H.
        • Clofin R.
        • Bialik O.
        Neurologic changes during awakening from anesthesia.
        Anesthesiology. 1981; 54: 125-130
        • Rosner B.S.
        • Clark D.L.
        Neurophysiologies effects on general anesthetics. II. Sequential regional actions in the brain.
        Anesthesiology. 1973; 39: 59-91
        • Rosow C.E.
        Sufentanil citrate: A new opioid analgesia for use in anesthesia.
        Pharinacotherapy. 1984; 4: 11-19
        • Schulman M.
        • Sandler A.M.
        • Bradley J.W.
        • et al.
        Postthoracotomy pain and pulmonary function following epidural and systemic morphine.
        Anesthesiology. 1984; 61: 569-575
        • Schultetus R.R.
        • Hill C.R.
        • Dharamraj C.M.
        • et al.
        Wakefulness during cesarean section after anesthetic induction with ketamine, thiopental, or ketamine and thiopental combined.
        Anesth. Analg. 1986; 65: 723-728
        • Stanley T.H.
        Intrathecal opiates, a potent tool to be used with caution.
        Anesthesiology. 1980; 53 (letter): 523-524
        • Stanley T.H.
        • Allen S.
        • Bryan-Brown C.W.
        Management of pain and pain-related problems in the critically ill patient.
        in: Shoemaker W.C. Critical Care: State of the Art. Society of Critical Care Medicine, Fullerton, California1985
        • Taylor P.
        Are neuromuscular blocking agents more efficacious in pairs?.
        Anesthesiology. 1985; 63: 1-3
        • Toledo-Pereyra L.H.
        • DeMeester T.R.
        Prospective and randomized evaluation of intrathoracic nerve block with bupivicaine on postoperative ventilatory function.
        Ann. Thorac. Surg. 1979; 27: 203-205
        • Vaughan M.S.
        • Vaughan R.W.
        • Cork R.C.
        Postoperative hypothermia in adults: Relationship of age, anesthesia, and shivering to rewarming.
        Anesth. Analg. 1981; 60: 746-751
        • Wang J.K.
        • Nauss L.A.
        • Thomas J.E.
        Pain relief by intrathecally applied morphine in man.
        Anesthesiology. 1979; 50: 149-151
        • Watson C.B.
        Adjustment of medicines in pulmonary failure.
        in: Chernow B. Lake C.R. The Pharmacologic Approach to the Pulmonary Patient. Williams & Wilkins, Baltimore1983: 115-132
        • Weiskopf R.B.
        • Boyetz M.S.
        • Roizan M.F.
        • et al.
        Cardiovascular and metabolic sequellae of inducing anesthesia with ketamine or thiopental in hypovolemic swine.
        Anesthesiology. 1984; 60: 214
        • Weiskopf R.B.
        • Fairley H.B.
        Anesthesia for major trauma.
        Surg. Clin. North Am. 1982; 62: 31-45
        • White P.F.
        Newer analgesia therapy. American Society of Anesthesiology Refresher Course.
        Lecture. 1983; 208
        • Yamanura T.
        • Kimura T.
        • Furukawa K.
        Effects of halothane, thiamyl and ketamine on central sympathetic and vagal tone.
        Anesth. Analg. 1983; 62: 129-134
        • Yelderman M.
        Transconjunctival oxygen measurements in critical care medicine.
        Anesthesiology. 1983; 59: 229-267
        • Yelderman M.
        • New W.
        Evaluation of pulse oximetry.
        Anesthesiology. 1983; 59: 349-352

      Article info

      Identification

      DOI: https://doi.org/10.1016/S0749-0704(18)30576-1

      Copyright

      © 1986 Elsevier Inc. Published by Elsevier Inc. All rights reserved.

      ScienceDirect

      Access this article on ScienceDirect

      The content on this site is intended for healthcare professionals.


      We use cookies to help provide and enhance our service and tailor content. To update your cookie settings, please visit the Cookie Preference Center for this site.
      Copyright © 2023 Elsevier Inc. except certain content provided by third parties.


      RELX