Fractured cervical spine and aortic transection.

Abstract:

:A 17-year-old victim of a road traffic accident presented. Following investigation diagnoses of fractured first cervical vertebra, aortic transection, diffuse cerebral oedema, fractured right ribs 2-4 and pubic rami were made. Management of this case presented a number of anaesthetic dilemmas: management of the airway, use of cross-clamp vs. shunting or heparinization and bypass, cardiovascular and neurological monitoring, maintenance of cardiovascular stability during and post cross-clamp, minimizing the risk of post-operative renal and neurological dysfunction.

journal_name

Eur J Anaesthesiol

authors

Griffin MJ,Harnett M,Kenefick P

doi

10.1046/j.1365-2346.1998.00315.x

subject

Has Abstract

pub_date

1998-07-01 00:00:00

pages

497-500

issue

4

eissn

0265-0215

issn

1365-2346

journal_volume

15

pub_type

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