• Paraplegia · Nov 1975

    Anaesthesia of the spinal cord-injured patient: cardiovascular problems and their management.

    • G F Troll and G J Dohrmann.
    • Paraplegia. 1975 Nov 1;13(3):162-71.

    AbstractAn increased venous capacity and a decreased myocardial contractility can be expected in patients with an acute spinal cord lesion at or above T6. Both factors may contribute to a high incidence of arterial hypotension and pulmonary oedema in these patients especially during anaesthesia. We feel that the Swan-Ganz catheter provides valuable information concerning prevention, diagnosis and treatment of arterial hypotension and pulmonary oedema. Although there may be occasional difficulty in interpretation of measurements from the Swan-Ganz catheter if high airway pressures are used, it is a more sensitive monitor than C.V.P. measurement and is particularly useful in patients with a sympathectomy secondary to spinal cord trauma.

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