[Anesthesia problems of the multiply-injured patient]

Anaesthesia in the case of subjects with multiple injuries is commonly a short-term emergency measure, in which a certain time is available for the implementation of intensive antishock therapy, or else anaesthesia for deferred emergency situations. Since the introduction of ketamine and althesin, the anaesthesiological risk has greatly reduced. Althesin has the best therapeutic index of all anaesthetics and the least myocardial toxicity. It also reduces intracranial pressure. Ketamine offers considerable neurovegetative protection. A personal technique, in which althesin with without althesin, is the drug of choice, is described.