Ketamine Anesthesia for Hypotensive Patient / 대한마취과학회지

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.