Ketamine Anesthesia for Hypotensive Patient.

Kwon,  Byung Yon

doi:1978.11.1.81

Case Report

Korean Journal of Anesthesiology 1978;11(1):81-82.
DOI: https://doi.org/10.4097/kjae.1978.11.1.81

Ketamine Anesthesia for Hypotensive Patient.

Byung Yon Kwon

Department of Anesthesiology, Busan Gospei Hospital, Busan, Korea.

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.