Abstract
Maintaining an adequate perfusion of vital organs is a central problem in the management of anaesthesia in poor risk patients. The first criterion for choosing an anaesthetic method for these patients is that as few changes as possible in the cardiovascular function are produced [11, 12]; the second criterion is that the defence mechanisms mediated via the sympathetic nervous system stay intact.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Attia RR, Murphy JD, Snider M, Lappas DG, Darling RC, Lowenstein E (1976) Myocardial ischemia due to infrarenal aortic crossclamping during aortic surgery in patients with severe coronary artery disease. Circulation 53: 961
Brismar B, Borgenwald L, Cronestrand R, Jorfeldt L, Jublin-Dannfeldt A (1977) The cardiovascular effects of neuroleptanaesthesia. Acta Anaesthesiol Scand 21: 100
Bromage PR (1969) The physiology and pharmacology of epidural blockade. Regional Anesthesia. Clin Anesth 2: 45
Cohn JN (1973) Blood pressure and cardiac performance. Am J Med 55: 351
Cullen DJ, Eger II EJ, Gregory GA (1969) The cardiovascular effects of carbondioxide in man, conscious and during cyclopropane anesthesia. Anesthesiology 31: 407
Dintenfass L (1971) The rheology of blood in vascular disease. J R Coll Physicicans Lond 5: 231
Forrester JS, Da Luz PL, Chatterje K (1975) Peripheral vasodilators in low cardiac output states. Surg Clin North Am 55: 531
Guyton AC, Young DB, De Clue JW, Ferguson JD, Mc Caa RE, Cevese A, Tripodo NC, Hall JE (1975) The role of the kidney in hypertension. In: Berglund G, Hanssen L, Werkö L (eds) Pathophysiology and management of arterial hypertension. Lingren u. Söner, Mölndal
Keats AS, Jackson L (1963) Anesthesia for emergency cardio-vascular surgery. Clin Anesth 2: 48
Lewis DG, Mackenzie A (1972) The effect of mild hypothermia and hyperventilation on acid/base balance in major vascular surgery. Br J Anaesth 40: 1085
Lewis DG, Mackenzie A (1972) Cooling during major vascular surgery. Br J Anaesth 44: 859
Lutz H, Müller C (1967) Erfahrungen mit der Neuroleptanalgesie bei Gefäßoperationen. In: Henschel WF (ed) Neuroleptanalgesie, Klinik und Fortschritte. Bericht über das III. Bremer NLA-Symposium. Schattauer, Stuttgart, S. 107
McElroy WT, Gerdes AJ, Brown EB (1958) Effects of C02, bicarbonate and pH on the performance of isolated perfused guinea pig heart. Am J Physiol 195: 412
Messmer K (1970) Grundlagen der modernen Schocktherapie. Münch Med Wochenschr 9: 357
Messmer K, Sunder-Plassmann L (1974) Hemodilution. Progr Surg 13: 208
Monroe RG, French G, Whittenberger JL (1960) Effects of hypocapnia and hypercapnia on myocardial contractility. Am J Physiol 199: 1121
Moran JE, Rusy BF, Verigvisces P, Luttanand S (1972) Effects of halothane-oxygen and innovarR - nitrous-oxygen on the maximum acceleration of the left ventricular ejection and tension time index in dogs. Anesth Anaig (Cleve) 51: 350
Morse HT, Linde HW, Mishalove RD, Price HL (1963) Relation of blood volume and hemodynamic changes during halo thane anesthesia in man. Anesthesiology 24: 790
Nobbe F, Dölp R (1976) Risikofaktoren in der Gefäßchirurgie. In: AhnefeldFW, Bergmann H, Burn C, Dick W, Halmagyi M, Rügheimer E (Hrsg) Der Risikopatient in der Anaesthesie. 1. Herzkreislauf- System. Klinische Anaesthesiologie und Intensivtherapie, Bd. 11. Springer, Berlin Heidelberg New York, S. 89
Norden J (1974) The influence of anaesthesia on systemic vascular resistance during cardiopulmonary bypass. Scand J Thor Cardio vase Surg 8: 81
Ottesen S, Renck H, Vik-Mo H, Jynge P (1980) Koronare Durchblutung bei lumbaler und thorakaler Periduralanaesthesie (Schaf). Neue Aspekte in der Regionalanaesthesie. Wirkung auf Herz, Kreislauf und Endokrinium. Postoperative Peridural-Analgesie, Düsseldorf. In: Wüst HJ, Zindler M (Hrsg) An¬aesthesiologie und Intensivmedizin, Bd. 124. Springer, Berlin Heidelberg New York
Otton PE, Wilson EJ (1966) Cardio circulatory effects of upper thoracic epidural analgesia. Can Anaesth Soc J 13: 541
Page JH, Corcorab AC, Duston HP, Koppanyi T (1955) Cardiovascular actions of sodium nitroprusside in animals and hypertensive patients. Circulation 11: 188
Palmer KNV, Gardiner AJS (1964) Effect of partial gastrectomy on pulmonary physiology. Br Med J 1: 347
Prys-Roberts C, Kelman GR, Greenbaum R, Kain ML, Bay J (1968) Hemodynamics and alveolararterial PO2 differences at varying PaCO2 in anesthetised man. J Appl Physiol 25: 80
Prys-Roberts C, Meloche R, Foex P (1971) Studies of anaesthesia in relation to hypertension I. Cardiovascular responses of treated and untreated patients. Br J Anaesth 43: 122
Prys-Roberts C, Lloyd JW, Fisher A, Kerr JH, Patterson TJS (1974) Deliberate profound hypotension induced with halothane: Studies of haemodynamics and pulmonary gas exchange. Br J Anaesth 46: 105
Renck H, Ottesen S, Jynge P (1976) Lumbal epidural analgesi pa far - modifikationer av den hemodynamiska responsen av volymexpansion alt. adrenalin-tillförsel. Acta Soc Med Sued 85: 65
Sarnoff SJ, Berglund E (1954) Ventricular function. I. Starlings law of the heart studied by means of simultaneous right and left ventricular function curves in the dog. Circulation 9: 706
Sarnoff SJ, Case RB, Berglund E, Sarnoff LC (1954) Ventricular function. V. The circulatory effects of aramine: mechanism of action of vasopressor drugs in cardiogenic shock. Circulation 10: 84
Siegel JH (1969) The myocardial contractile state and its role in the response to anesthesia and surgery. Anesthesiology 30: 519
Sjögren S, Wright B (1972) Circulation, respiration and lidocaine concentration during continuous epidural blockade. Acta Anaesthesiol Scand [Suppl] 46:
Spence A A, Smith G, Harris R (1968) The influence of continuous extradural analgesia on lung function in the postoperative period. Br J Anaesth 40: 801
Störmer B, Wüst HJ, Sandmann W, Kremer K (1978) Der Effekt von Operation, Narkose und Blutviskosität auf die Haemodynamik während der aortofemoralen Bypassoperation. Anaesthesist 27: 76
Thompson JE, Vollman RW, Austin DJ, Kartchner MM (1968) Prevention of hypotensive and renal complications of aortic surgery using balanced salt solution. Thirteen-year experience with 670 cases. Ann Surg 167: 767
Thompson JE, Hollier LH, Patman RD, Persson AV (1975) Surgical management of abdominal aortic aneurysms: Factors influencing mortality and morbidity - A 20-year experience. Ann Surg 181: 654
Urschel CW, Covell JW, Sonnenblick EH, Ross J, Braunwald E (1968) Myocardial mechanics in aortic and mitral valvular regurgitation. The concept of instantaneous impedance as a determinant of the performance of the intact heart. J Clin Invest 47: 867
Wüst HJ, Zumfelde L, Sandmann W, Lennartz H (1975) Kardiorespiratorische Komplikationen nach aorto-femoralen Bypassoperationen. Vortrag auf dem Nordwestdeutschen Chirurgen-Kongreß, Hamburg
Wüst HJ, Sandmann W, Richter O, Godehardt E, Günter D (1978) Effects of neuroleptanaesthesia on haemodynamics and postoperative respiratory function in patients undergoing minor and major vascular surgery. Proc R Soc Med Intern Congr Ser Suppl 3: 75
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1980 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Wüst, H.J., Florack, G., Sandmann, W., Richter, O., Lehmacher, W. (1980). A Comparison of the Cardiovascular Effects of Neurolept-, Halothane or Continuous Thoracic Epidural Anaesthesia in Patients Undergoing an Aorto-Femoral Bypass Operation. A Prospective Randomized Study. In: Wüst, H.J., Zindler, M. (eds) Neue Aspekte in der Regionalanaesthesie 1. Anaesthesiologie und Intensivmedizin / Anaesthesiology and Intensive Care Medicine, vol 124. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-67384-9_2
Download citation
DOI: https://doi.org/10.1007/978-3-642-67384-9_2
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-09500-2
Online ISBN: 978-3-642-67384-9
eBook Packages: Springer Book Archive