AffiliationDepartment of Anaesthesia and Intensive Care, Cork University Hospital, Wilton,, Ireland.
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CitationEur J Anaesthesiol. 1998 Jul;15(4):497-500.
JournalEuropean journal of anaesthesiology
AbstractA 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.