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Severe Hypotension and Major Conduction Anesthesia

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New Aspects in Regional Anesthesia 4
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Abstract

The incidence of serious hypotension must be considered a critical complication of anesthesia as far as coronary and/or cerebral risk patients are concerned. One must expect myocardial ischemia as shown by ECG changes in patients with cardio circulatory disease who suffer hypotension lasting longer than 10 min [10]. Likewise, a pressure-dependent, restricted cerebral blood flow might result in serious hypoxic brain injuries. A severe reduction in blood pressure can thus be responsible for grave sequalae [7]. One should be aware of the frequency with which hypotensive reactions occur during different anesthetic procedures in order to take the most effective preventative measures.

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References

  1. Astra Chemicals GmbH (ed) (1981) Regionalanästhesie. Fischer, Stuttgart la.

    Google Scholar 

  2. Arner O (1953) Complications following spinal anesthesia. Acta Chir Scand 167:1.

    Google Scholar 

  3. Bonica J, Backup PH, Anderson CE, Hackfield D, Crepps WF, Mouk BJ (1957) Peridural block: analysis of 3637 cases and a reviw. Anesthesiology 18:723.

    Article  PubMed  CAS  Google Scholar 

  4. Bucheri CH (1975) Die Spinalanästhesie bei orthopädischen und traumatologischen Eingriffen. Muench Med Wochenschr 117:171.

    Google Scholar 

  5. Dawkins M (1969) An analysis of the complications of extra-dural and caudal block. Anaesthesia 24:554.

    Article  PubMed  CAS  Google Scholar 

  6. Griffiths R (1973) Spinal cord blood flow in dogs: The effect of blood pressure. J Neurol Neurosurg Psychiatry 36:914.

    Article  PubMed  CAS  Google Scholar 

  7. Hartung HJ, Osswald PM, Böhner U, Lutz H (1981) Datenmodell in der Anästhesie am Klinikum Mannheim. Anästhesiologie und Intensivmedizin 22:141 (perimed, Erlangen).

    Google Scholar 

  8. Just OH, Lutz H, Müller C (1967) Anästhesiologische Probleme bei gefäßchirurgischen Eingriffen. In: Just OH, Zindler M (eds) Anaesthesie in der Gefäß— und Herzchirurgie. Springer, Berlin Heidelberg New York, p 85 (Anaesthesiology and resuscitation, vol 20).

    Chapter  Google Scholar 

  9. Klose R, Osswald PM, Lutz H (1977) Präoperative spirometrische Beurteilung der Lungenfunktion und postoperativer Verlauf. Z Prakt Anästh 4:297.

    Google Scholar 

  10. Lutz H (1979) Sorgfalt bei der Voruntersuchung und Vorbehandlung. Anaesth Intensivmed Feb 1979:31–35.

    Google Scholar 

  11. Mauney FM, Ebert PA, Sabiston DC (1970) A study of predisposing factors, diagnosis and mortality in a high risk group of surgical patients. Ann Surg 172:497.

    Article  PubMed  Google Scholar 

  12. Ober G (1979) Komplikationen bei Leitungsanästhesien. Inauguraldissertation, Mannheim.

    Google Scholar 

  13. Reivich M (1964) Arterial pCO2 and cerebral hemodynamics. Am J Physiol 206:25.

    PubMed  CAS  Google Scholar 

  14. Rupieper N, Ghodsi M (1975) Spinalanästhesie und Blutdruckverhalten. Anästhesiolog Information 16:342.

    Google Scholar 

  15. Salehi E (1978) Der heutige Stand der Spinalanästhesie bei urologischen Eingriffen. Z Urol Nephrol 71:397.

    PubMed  CAS  Google Scholar 

  16. Smith AL, Pender JW, Alexander SC (1969) Effects of pCO2 on spinal cord blood flow. Am J Physiol 216:1158.

    PubMed  CAS  Google Scholar 

  17. Tolksdorf W, Klose R, Striebel JP, Lutz H (1978) Prophylaxe schwerer Hypotensionen durch Peri-duralanästhesie bei transurethralen Prostataresektionen. Z Prakt Anaesth 13:477.

    CAS  Google Scholar 

  18. Wurster J (1972) Möglichkeiten und Komplikationen der rückenmarksnahen Anästhesie. In: Nolte H (ed) Die rückenmarksnahen Anästhesien. Thieme, Stuttgart.

    Google Scholar 

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© 1986 Springer-Verlag Berlin Heidelberg

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Hartung, H.J., Osswald, P.M., Bender, H.J., Lutz, H. (1986). Severe Hypotension and Major Conduction Anesthesia. In: Wüst, H.J., Stanton-Hicks, M.d. (eds) New Aspects in Regional Anesthesia 4. Anaesthesiologie und Intensivmedizin / Anaesthesiology and Intensive Care Medicine, vol 176. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-70807-7_12

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  • DOI: https://doi.org/10.1007/978-3-642-70807-7_12

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-15938-4

  • Online ISBN: 978-3-642-70807-7

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