Zusammenfassung
20 neurochirurgische Patienten in Ēthrane-Narkose wurden untersucht bei einem durchschnittlichen arteriellen Ēthrane-Blutspiegel von 11 mg/100 ml. Im Vergleich zu den postoperativen Untersuchungen war der arterielle Mitteldruck intraoperativ um 17 %. der Herzindex um 24 % und der Schlagindex um 22 % herabgesetzt. Die durchschnittliche Pulsfrequenz und der totale periphere Widerstand zeigten nur einen geringfügigen Unterschied bei dieser Vergleichsuntersuchung. Im Gegensatz dazu stieg nach Beendigung der Narkose die Herzarbeit um 46 %. Drei Patienten hatten während der Operation ventrikuläre Extrasystolen, die sich aber gut behandeln ließen. Nach diesen Untersuchungen halten wir Ēthrane geeignet als Narkosemittel für neurochirurgische Operationen.
Summary
Mean blood pressure, cardiac index, cardiac output, stroke index, left ventricular work and total peripheral resistance were determined during neurosurgical operations under Ēthrane anesthesia. The mean arterial concentration of Ēthrane during the operation was 11 mg/100 ml. Compared with the postoperative reading, arterial mean pressure fell 17 %, the cardiac index 24 % and the stroke index 22 % during the operation. but pulse and total peripheral resistance did not vary significantly. Left ventricular work increased by 46 % at the end of the operation.
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Huse, K., Köhler, H. (1974). Kreislaufveränderungen in Ēthrane-Narkose bei neurochirurgischen Patienten. In: Lawin, P., Beer, R., Wiethoff, E. (eds) Ēthrane. Anaesthesiology and Resuscitation / Anaesthesiologie und Wiederbelebung / Anesthésiologie et Réanimation, vol 84. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-65931-7_41
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DOI: https://doi.org/10.1007/978-3-642-65931-7_41
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