General anaesthesia in the context of haemorrhagic shock and trauma

10^th International Conference on Surgery and Anaesthesia

May 19-20, 2025 Zurich, Switzerland

Fabrizio Bonanno

University of Limpopo, South Africa

Scientific Tracks Abstracts: Surgery

Abstract :

In a patient with haemorrhagic shock, the interference of general anaesthesia (GA) with physiology homeostasis is more significative and relevant than the one in a not deranged patient about to undergo elective surgery, haemorrhagic shock (HS) being by definition a scenario with deranged cardiovascular and cellular respiratory physiology, manifesting with hypotension and hypoperfusion. Considering the absence of studies assessing the effects of standard GAs in HS or trauma, as a corollary, it can be recommended to achieve a general anaesthesia tailored to the patient’s actual physiology, specifically a titrated-to-response anaesthesia (TRA), in any situation of HS with or without trauma. Schemes of induction and maintenance for GA, optimalized for advanced hypotensive or critical HS, have been drafted, based on experience with TIVA in critical airway, and emergency not shocked patients have been adapted to the deteriorating physiology of a progressing HS. Recommendations for damage-controlanaesthesia (DCA) in trauma, particularly to face/neck trauma and burns, have also been given.

Biography :

Emergency/Trauma Surgeon with background in Emergency Medicine and Anesthesia, worked in UK, Italy, East Africa and South Africa. Interested in critical care in general, surgical, medical and resuscitations.