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.
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
Astra Chemicals GmbH (ed) (1981) Regionalanästhesie. Fischer, Stuttgart la.
Arner O (1953) Complications following spinal anesthesia. Acta Chir Scand 167:1.
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.
Bucheri CH (1975) Die Spinalanästhesie bei orthopädischen und traumatologischen Eingriffen. Muench Med Wochenschr 117:171.
Dawkins M (1969) An analysis of the complications of extra-dural and caudal block. Anaesthesia 24:554.
Griffiths R (1973) Spinal cord blood flow in dogs: The effect of blood pressure. J Neurol Neurosurg Psychiatry 36:914.
Hartung HJ, Osswald PM, Böhner U, Lutz H (1981) Datenmodell in der Anästhesie am Klinikum Mannheim. Anästhesiologie und Intensivmedizin 22:141 (perimed, Erlangen).
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).
Klose R, Osswald PM, Lutz H (1977) Präoperative spirometrische Beurteilung der Lungenfunktion und postoperativer Verlauf. Z Prakt Anästh 4:297.
Lutz H (1979) Sorgfalt bei der Voruntersuchung und Vorbehandlung. Anaesth Intensivmed Feb 1979:31–35.
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.
Ober G (1979) Komplikationen bei Leitungsanästhesien. Inauguraldissertation, Mannheim.
Reivich M (1964) Arterial pCO2 and cerebral hemodynamics. Am J Physiol 206:25.
Rupieper N, Ghodsi M (1975) Spinalanästhesie und Blutdruckverhalten. Anästhesiolog Information 16:342.
Salehi E (1978) Der heutige Stand der Spinalanästhesie bei urologischen Eingriffen. Z Urol Nephrol 71:397.
Smith AL, Pender JW, Alexander SC (1969) Effects of pCO2 on spinal cord blood flow. Am J Physiol 216:1158.
Tolksdorf W, Klose R, Striebel JP, Lutz H (1978) Prophylaxe schwerer Hypotensionen durch Peri-duralanästhesie bei transurethralen Prostataresektionen. Z Prakt Anaesth 13:477.
Wurster J (1972) Möglichkeiten und Komplikationen der rückenmarksnahen Anästhesie. In: Nolte H (ed) Die rückenmarksnahen Anästhesien. Thieme, Stuttgart.
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1986 Springer-Verlag Berlin Heidelberg
About this paper
Cite this paper
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
Download citation
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
eBook Packages: Springer Book Archive