A case of traumatic ventricular pneumocephalus

✍ Scribed by D. Owen Davies

• Publisher: John Wiley and Sons
• Year: 1943
• Tongue: English
• Weight: 310 KB
• Volume: 30
• Category: Article
• ISSN: 0007-1323
• DOI: 10.1002/bjs.18003011909

✦ Synopsis

TREATMENT

The fall in blood-pressure is not usually marked when the upper margin of analgesia has been at the umbilicus. Those with a high preoperative blood-pressure usually exhibited a fall with or without nausea. Whenever a severe fall in blood-pressure was detected, whether there were symptoms or not, an intramuscular injection of I C.C. of veritol was given and oxygen inhalation with a B. L. B. mask commenced. Coramine, pituitrin, and ephedrine are not reliable in treating this condition. This was all that was required, except where there had been much blood-loss. I n these cases a blood transfusion is indicated.

SUMMARY AND CONCLUSIONS

A series of 94 cases of the poor-risk type have been given spinal analgesia, with novocain dissolved in cerebrospinal fluid, for prostatectomy. There were 14 deaths, 2 on the same day and 12 at later dates.