Penetrating abdominal injury in a polytrauma patient: Anaesthetic challenges faced

Penetrating abdominal injuries are potentially life threatening due to the associated hemorrhagic shock and visceral injury. Through and through penetrating injury with polytrauma is rarely encountered. We report a case presenting with in situ projecting heavy metallic rod in a through and through p...

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Bibliographic Details
Published in:Journal of anaesthesiology, clinical pharmacology clinical pharmacology, 2011-04, Vol.27 (2), p.272-274
Main Authors: Tantry, Thrivikrama Padur, Kadam, Dinesh, Shetty, Pramal, Adappa, Karunakara Kenjar, Muralishankar, Bg, Shenoy, Sunil P
Format: Article
Language:English
Subjects:
Abdomen
Case Report
Emergency medical services
Health aspects
Injuries
Operating table
penetrating abdominal injury
polytrauma
positioning
shock
Surgery
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Summary:Penetrating abdominal injuries are potentially life threatening due to the associated hemorrhagic shock and visceral injury. Through and through penetrating injury with polytrauma is rarely encountered. We report a case presenting with in situ projecting heavy metallic rod in a through and through penetrating abdominal injury along with foreign body in a road traffic accident. Anaesthetic management was difficult due to inability to position in supine, rapidly progressing hemorrhagic shock and hypoxia due hemopneumothorax. Two operating tables were used with adequate intervening space to accommodate the posteriorly projecting metallic rod during intubation in supine position. Intensive monitoring and resuscitation resulted in uneventful successful outcome.
ISSN:0970-9185
2231-2730
DOI:10.4103/0970-9185.81846