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Abstract

Remember that with a haemoglobin of 3 g% a cardiac output of 6 litres leaves no safety margin at all. Patients with chronic anaemia have to be transfused slowly to avoid heart failure by anoxia weakened myocardium. Where there is no time to correct a low haemoglobin, give maximum oxygen during anaesthesia, replace blood steadily and aim at controlled ventilation - I.P.P.V. The anaemic patient withstands hypotension very badly, so avoid: Pentothal, spinal-anaesthesia; preferably use Ketalar.

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© 1982 Springer-Verlag Berlin Heidelberg

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Kamm, G., Graf-Baumann, T. (1982). Anaesthesia and Associated Medical Problems. In: Machame Anaesthesia Notebook for Medical Auxiliaries. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-67101-2_12

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  • DOI: https://doi.org/10.1007/978-3-642-67101-2_12

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-09055-7

  • Online ISBN: 978-3-642-67101-2

  • eBook Packages: Springer Book Archive

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