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Fractured cervical spine and aortic transection

Published online by Cambridge University Press:  16 August 2006

M. J. Griffin ,
M. Harnett  and
P. Kenefick
M. J. Griffin
Affiliation:
Department of Anaesthesia and Intensive Care, Cork University Hospital, Wilton, Cork, Ireland
M. Harnett
Affiliation:
Department of Anaesthesia and Intensive Care, Cork University Hospital, Wilton, Cork, Ireland
P. Kenefick
Affiliation:
Department of Anaesthesia and Intensive Care, Cork University Hospital, Wilton, Cork, Ireland
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Abstract

A 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.

Keywords

multiple traumacervical spineaortaanaesthesia
Type
Case Report
Information
European Journal of Anaesthesiology , Volume 15 , Issue 4 , July 1998 , pp. 497 - 500
Copyright
1998 European Society of Anaesthesiology

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