Rapid anesthesia induction in combat casualties with full stomachs.
A series of 50 combat-injured patients given crash intubation for rapid induction of anesthesia is presented. The technic consisted of injection of 3 mg of d-tubocurarine and 0.4 mg of atropine IV, preoxygenation by face mask for 3 minutes, and then injection of sodium thiopental or ketamine, followed immediately by 60 to 80 mg of succinylcholine IV. Intubation was performed with a cuffed tube after cessation of spontaneous respirations and relaxation of the jaw. In the entire series there was no vomiting or aspiration on induction. Thirty-six patients were induced with thiopental and 14 with ketamine. Three patients given thiopental and 2 given ketamine had a fall in blood pressure to below 100 torr systolic. The average BP change was in a positive direction with both agents.
D000758:Anesthesia / Q000379:methods*; D000771:Anesthesia, Intravenous; D001285:Atropine; D001794:Blood Pressure / Q000187:drug effects; D006801:Humans; D007440:Intubation / Q000379:methods; D007649:Ketamine; D008297:Male; D008887:Military Medicine; D011015:Pneumonia, Aspiration / Q000517:prevention & control; D011175:Positive-Pressure Respiration; D013390:Succinylcholine; D013874:Thiopental; D014403:Tubocurarine; D014839:Vomiting / Q000517:prevention & control; D014947:Wounds and Injuries / Q000601:surgery*
D007649:Ketamine; D001285:Atropine; D013390:Succinylcholine; D013874:Thiopental; D014403:Tubocurarine