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Ketamine Induced Anesthesia in Hemorrhagic Shock and Increased Intracranial Pressure

Published online by Cambridge University Press:  28 June 2012

Hans-Joachim Hartung ,
Roderich Klose ,
R. Kotsch  and
Th. Walz
Hans-Joachim Hartung
Affiliation:
From the Institute of Anesthesiology and Reanimation, Faculty of Clinical Medicine, Mannheim;University of Heidelberg, Heidelberg, West Germany.
Roderich Klose
Affiliation:
From the Institute of Anesthesiology and Reanimation, Faculty of Clinical Medicine, Mannheim;University of Heidelberg, Heidelberg, West Germany.
R. Kotsch
Affiliation:
From the Institute of Anesthesiology and Reanimation, Faculty of Clinical Medicine, Mannheim;University of Heidelberg, Heidelberg, West Germany.
Th. Walz
Affiliation:
From the Institute of Anesthesiology and Reanimation, Faculty of Clinical Medicine, Mannheim;University of Heidelberg, Heidelberg, West Germany.
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Extract

In a considerable number of cases, many polytraumatized patients in a state of hemorrhagic shock, who require immediate surgical treatment, there is craniocerebral trauma. Ketamine is viewed, on one hand, as an appropriate induction anesthetic, due to its circulatory stimulating effect in treating shock victims, and, on the other hand, it is rejected for treating patients with craniocerebral injuries, because of the danger of possible increase in intracranial pressure (ICP). Therefore, we examined the effects of ketamine on ICP and calculated the cerebral perfusion pressure, using test animals in a state of hemorrhagic shock and a space occupying intracranial process.

Type
Part II: Clinical Care Topics
Information
Prehospital and Disaster Medicine , Volume 1 , supplement S1: Disaster Resuscitology , 1985 , pp. 284 - 286
Copyright
Copyright © World Association for Disaster and Emergency Medicine 1985

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