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The Role of Regional Anesthesia under Field Conditions

Published online by Cambridge University Press:  28 June 2012

Thomas Klöss*
Affiliation:
Department of Anesthesiology, University of Tübingen, Hoppe-Seyler-Str. 3, D-7400 Tübingen, Federal Republic ofGermany
Gunther Lenz
Affiliation:
Department of Anesthesiology, University of Tübingen, Hoppe-Seyler-Str. 3, D-7400 Tübingen, Federal Republic ofGermany
Heidi Schwandt-Boden
Affiliation:
German Red Cross, P.O. Box, D-5300 Bonn, Federal Republic ofGermany
Johannes Bauer
Affiliation:
German Red Cross, P.O. Box, D-5300 Bonn, Federal Republic ofGermany
Raimund Stehle
Affiliation:
German Red Cross, P.O. Box, D-5300 Bonn, Federal Republic ofGermany
*
Dr. Thomas Klöss, MD, Department of Anesthesiology, University of Tübingen, Hoppe-Seyler-Str. 3, D-7400 Tübingen, Federal Republic of Germany

Abstract

The authors, who served as anesthesiologists for 15 months at an International Committee of the Red Cross (ICRC) surgical field hospital in a Cambodian refugee camp, report their anesthesiologic experience with 2,906 patients. In spite of preferential use of regional anesthetic techniques, general anesthesia was required in 68% of the cases. Local infiltration anesthesia was applied in 21% of the cases, conduction anesthesia in 3%, and spinal anesthesia in 8%.

Type
Brief Report
Copyright
Copyright © World Association for Disaster and Emergency Medicine 1990

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References

1. Murray Carmichael, GL: Anaesthesia under civil war conditions. Anaesthesia 1981;36: 10771088.CrossRefGoogle Scholar
2. Lenz, G, Stehle, R: Anesthesia under field conditions: A review of 945 cases. Acta Anaesthesiol Scand 1984;28:351356.CrossRefGoogle ScholarPubMed
3. Klöss, Th, Lenz, G: A simple method of monitoring spontaneous breathing. Anaesthesist 1985; 34:371372.Google Scholar
4. Halford, FJ: A critique of intravenous anesthesia in war surgery. Anesthesiology 1943;4:6769.CrossRefGoogle Scholar
5. Leak, WD, Winchell, SW: Regional anesthesia in pediatric patients. Review of clinical experience. Regional Anesth 1982;7:6465.Google Scholar
6. Scott, DL, Ghia, JN, Teeple, E. Meningitis due to Streptococcus viridans following differential spinal block. Regional Anesth 1983;8:8588.Google Scholar
7. Baraka, A: Anaesthetic problems during the tragic civil war in Lebanon. MEJ Anaesth 1978;5:719.Google ScholarPubMed
8. Frei, E, Zuerni, C: Anaesthesieverfahren in der katastrophe aus chirurgischer sicht. Helv chir Acta 1982;49:555562.Google Scholar
9. Knight, RJ: Anaesthesia in a difficult situation in South Vietnam. Anaesthesia 1969;24:317342.CrossRefGoogle Scholar
10. Selander, D: Catheter technique in axillary plexus block: Presentation of a new method. Acta Anaesthesiol Scand 1977; 21:324329.CrossRefGoogle ScholarPubMed
11. Scott, DB: Cardiovascular effects of lumbar epidural and spinal anesthesia. Regional Anesth 1982;7:S2123.Google Scholar
12. Jowitt, MD, Knight, RJ: Anaesthesia during the Falklands campaign. The land battles. Anaesthesia 1983;38:776783.CrossRefGoogle ScholarPubMed
13. Bull, PT, Merrill, SB, Moody, RA, et al. Anaesthesia during the Falklands campaign. The experience of the Royal Navy. Anaesthesia 1983;38:770775.CrossRefGoogle ScholarPubMed
14. Butler, SH, Freund, PR. Regional anaesthesia as a safe alternative to general anaesthesia in the multiple-trauma patient. Regional Anaesth 1981;6:2629.Google Scholar
15. Bion, JF: An anaesthetist in a camp for Cambodian refugees. Anaesthesia 1983;38:798801.CrossRefGoogle Scholar
16. Sharwood-Smith, G: Anaesthesist in Salalah. Anaesthesia 1976;31:10491053.Google Scholar