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dc.contributor.authorGriffin, M J
dc.contributor.authorHarnett, M
dc.contributor.authorKenefick, P
dc.date.accessioned2012-02-03T15:14:21Z
dc.date.available2012-02-03T15:14:21Z
dc.date.issued2012-02-03T15:14:21Z
dc.identifier.citationEur J Anaesthesiol. 1998 Jul;15(4):497-500.en_GB
dc.identifier.issn0265-0215 (Print)en_GB
dc.identifier.issn0265-0215 (Linking)en_GB
dc.identifier.pmid9699110en_GB
dc.identifier.urihttp://hdl.handle.net/10147/209179
dc.description.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.
dc.language.isoengen_GB
dc.subject.meshAccidents, Trafficen_GB
dc.subject.meshAdolescenten_GB
dc.subject.mesh*Anesthesia, Generalen_GB
dc.subject.meshAnticoagulants/contraindicationsen_GB
dc.subject.meshAortic Rupture/*surgeryen_GB
dc.subject.meshBrain Edema/complicationsen_GB
dc.subject.meshCardiopulmonary Bypass/contraindicationsen_GB
dc.subject.meshCervical Atlas/*injuries/surgeryen_GB
dc.subject.meshFemaleen_GB
dc.subject.meshFractures, Bone/complicationsen_GB
dc.subject.meshHemiplegia/etiology/therapyen_GB
dc.subject.meshHeparin/contraindicationsen_GB
dc.subject.meshHumansen_GB
dc.subject.meshHypertension/drug therapy/etiologyen_GB
dc.subject.meshIntubation, Intratracheal/instrumentation/methodsen_GB
dc.subject.meshMonitoring, Intraoperativeen_GB
dc.subject.meshPostoperative Complicationsen_GB
dc.subject.meshPubic Bone/injuriesen_GB
dc.subject.meshRib Fractures/complicationsen_GB
dc.subject.meshRisk Factorsen_GB
dc.subject.meshSpinal Fractures/*surgeryen_GB
dc.titleFractured cervical spine and aortic transection.en_GB
dc.contributor.departmentDepartment of Anaesthesia and Intensive Care, Cork University Hospital, Wilton,, Ireland.en_GB
dc.identifier.journalEuropean journal of anaesthesiologyen_GB
dc.description.provinceMunster
html.description.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.


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