Korean J Anesthesiol.  1978 Mar;11(1):81-82.

Ketamine Anesthesia for Hypotensive Patient

• Kwon BY

Abstract

This is a report of ketamine anesthesia with exploratory laparatmy for ruptured ectopic pregnancy. The Patients preoperative state was as the following: Hb; 4. 0m%, Ht; 12%, BP; undetectable Mentolity; semicomatous In the emergency room, she received 2 pints of whole blood, 1,000 ml of Hartmanns solution and 500 ml of Rheomacrodex via two intravenoues routes. In the operating room, blood pressure was 70/60 mmHg. Intrbatien was perfamed after ketamine induction with d-tubocurarine 3mg (to prevent fascicul- ations) and succinykholine 50 mg intravenously. Anesthesia was maintained with ketamine and d-tubocurarine without trouble. During surgery blood pressure was 110/80 mmg Hg after transfusion of 2 more pints of whole blood. She tolerated the surgery well, and was discharged on the 8th postoperative day in a healthy state.

MeSH Terms

Anesthesia*
Blood Pressure
Dextrans
Emergency Service, Hospital
Female
Humans
Ketamine*
Operating Rooms
Pregnancy
Pregnancy, Ectopic
Tubocurarine
Dextrans
Ketamine
Tubocurarine