Abstract
Deliberate hypotension has been controversial ever since it was introduced in 1946 by Gardner [1]. That it actually decreases blood loss has been reported by several authors, including Thompson et al. [2] as recently as 1978. Improved understanding of the cardiovascular physiology and the development of monitoring devices for continuous invasive monitoring in the past 2 decades have contributed to a more critical and safer use of controlled hypotension.
This is a preview of subscription content, log in via an institution to check access.
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
Gardner WJ (1946) The control of bleeding during operation by induced hypotension. JAMA 132: 572–574
Thompson GE, Miller RD, Stevens WC et al. (1978) Hypotensive anaesthesia for total hip arthroplasty: a study of blood loss and organ function (brain, heart, liver, and kidney). Anesthesiology 48: 91–96
Sonntag H, Donath U, Hillebrand W et al. (1978) Left ventricular function in conscious man and during halothane anesthesia. Anesthesiology 48: 320–324
Longnecker DE, Radke J, Schenk H-D et al. (1980) Cerebral oxygenation during deliberate hypotension (Abstr). Anesthesiology 53: 3S–S91
Sonntag H, Merin RG, Donath U et al. (1979) Myocardial metabolism and oxygenation in man awake and during halothane anesthesia. Anesthesiology 51: 204–210
Calverley RK, Smith NT, Prys-Roberts C et al. (1978) Cardiovascular effects of enflurane anesthesia during controlled ventilation in man. Anaesth Analg (Cleve) 57: 619
Steen PA, Michenfelder JD (1979) Neurotoxicity of anesthetics. Anesthesiology 50: 437–453
Fan FG, Kim S, Sunchon S et al. (1980) Effects of sodium nitroprusside on systemic and regional hemodynamics and oxygen utilisation in dog. Anesthesiology 53: 113–120
Griffiths DPG, Cummins BH, Greenbaum R et al. (1974) Cerebral blood flow and metabolism during hypotension induced with sodium nitroprusside. Br J Anaesth 46: 671–679
Csondgrady A, Mayr E, Kamp HD et al. (1979) Dosisprobleme mit Natriumnitroprussid bei kontrollierter Hypotension in der Hals-Nasen-Ohrenchirurgie. Anaesthesist 28: 564–571
Lüben V, Patschke G, Hempelmann G (1978) Hämodynamische Untersuchung der kontrollierten Hypotension mit Natriumnitroprussid unter Betareceptorenblockade ( Abstr ). Zentral-Europaischer Anaesthesie-Kongrefi Innsbruck K79
Bedford RF (1978) Increasing halothane concentration reduces nitroprusside dose requirement. Anesth Analg (Cleve) 57: 457–462
Khambatta HJ, Stone JG, Khan E (1979) Hypertension during anesthesia on discontinuation of sodium nitroprusside induced hypotension. Anesthesiology 51: 127–130
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1982 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Hilfiker, O., Kettler, D., Larsen, R., Teichmann, J., Sonntag, H. (1982). Inhalation Anaesthetics as Hypotensive Agents: Controversial Aspects. In: Peter, K., Jesch, F. (eds) Inhalation Anaesthesia Today and Tomorrow. Anaesthesiologie und Intensivmedizin / Anaesthesiology and Intensive Care Medicine, vol 150. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-68713-6_25
Download citation
DOI: https://doi.org/10.1007/978-3-642-68713-6_25
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-11757-5
Online ISBN: 978-3-642-68713-6
eBook Packages: Springer Book Archive