Anesthesia Pharmacology:  General Anesthesia Clinical Case Questions

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  • A 25 year-old woman was admitted in profound shock following a motor vehicle accident.
  • On arrival at the emergency room she was wearing mast trousers and had an auscultatory blood-pressure of 60/40.
  • An IV was immediately started in the right jugular vein. Abdominal paracentesis revealed gross blood, indicating rupture of one or more abdominal viscera.
  • An immediate laparotomy was obviously indicated.


  • case author: Hugh S. Mathewson, M.D., Professor Emeritus, School of Allied Health, Department of Nurse Anesthesia, University of Kansas Medical Center
    case editor: Michael Gordon, Ph.D.