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Part of the book series: Klinische Anästhesiologie und Intensivtherapie ((KAI,volume 47))

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Zusammenfassung

Im folgenden soll die Rede sein von Zuständen einer krisenhaften, passageren Kreislaufinsuffizienz, die beim anästhesierten Patienten auch ohne präexistierende Kreislauferkrankung auftreten können. Beispielhaft sollen genannt werden

  1. 1)

    die intraoperativ auftretende „orthostatische“ Hypotension,

  2. 2)

    die durch relative oder absolute Überdosierung von Inhalationsanästhetika verursachte Kreislaufinsuffizienz,

  3. 3)

    die arterielle Hypotension, die während einer rückenmarknahen Leitungsanästhesie auftreten kann, und schließlich,

  4. 4)

    das „Eventerationssyndrom“ als Beispiel für eine arterielle Hypotension, die durch operationsbedingte Einschwemmung vasoaktiver Substanzen verursacht wird.

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Literatur

  1. Abboud FM (1983) Interaction of cardiovascular reflexes in circulatory control. In: Shepherd JT, Abboud FM. Handbook of physiology, sec 2: the cardiovascular system, vol 3. American Physiological Society, Bethesda, p 675

    Google Scholar 

  2. Andersen TW, Gravenstein JS (1964) Mephentermine and ephedrine in man. A comparative study on cardiovascular effects. Clin Pharmacol Ther 5: 281

    Google Scholar 

  3. Arndt JO, Höck A, Stanton-Hicks M, Stühmeier K-D (1985) Peridural anesthesia and the distribution of blood in supine humans. Anesthesiology 63: 616

    Article  PubMed  CAS  Google Scholar 

  4. Baron J-F, Decaux-Jacolot A, Edouard A, Berdeaux A, Samili K (1986) Influence of venous return on baroreflex control of heart rate during lumbar epidural anethesia in humans. Anesthesiology 64: 188

    Article  PubMed  CAS  Google Scholar 

  5. Berens RJ, Ebert TJ, Kampine JP (1990) Inhibition of sympathetic neural outflow contributes to the hypotension during propofol induction in humans. Anesthesiology 73: A343

    Article  Google Scholar 

  6. Billman GE, Dickey DT, Teoh KK, Stone HL (1981) Effects of central venous blood volume shifts on arterial baroreflex control of heart rate. Am J Physiol 241: 11571

    Google Scholar 

  7. Boldt J, Müller H, Börner U, Kling D, Moosdorf R, Hempelmann G (1986) Untersuchungen zur isolierten Beeinflussung des Gefäßsystems durch verschiedene blutdrucksteigernde Medikamente (AkrinorR, Etilefrin, Ephedrin, Norfenefrin, Amezinium) während der extrakorporalen Zirkulation beim Menschen. Anaesthesist 35: 93

    Google Scholar 

  8. Bonica JJ, Akamatsu TJ, Berges PU, Morikawa K, Kennedy WF (1971) Circulatory effects of peridural block. Anesthesiology 34: 514

    Article  PubMed  CAS  Google Scholar 

  9. Bonica JJ, Berges PU, Marikawa K (1979) Circulatory effects of peridural block: effects of level of analgesia and dose of lidocaine. Anesthesiology 33: 619

    Article  Google Scholar 

  10. Boros SJ (1979) Variations in inspiratory: expiratory ratio and airway pressure wave form during mechanical ventilation: The significance of mean airway pressure. J Pediatr 94: 114

    Article  PubMed  CAS  Google Scholar 

  11. Brinkmann A, Wolf CF, Walther F, Oettinger W, Seeling WD (1991) „Mesenteric-tractionsyndrome“ - Aspects of pathophysiology and treatment. Anesthesiology 75 (Suppl): A161

    Google Scholar 

  12. Bristow JD, Prys-Roberts C, Fisher A, Pickering TG, Sleight P (1969) Effects of anesthesia on baroreflex control of heart rate in man. Anesthesiology 31: 422

    Article  PubMed  CAS  Google Scholar 

  13. Butterworth JF, Piccione W, Berrizbeitia LD, Dance G, Shemin RJ, Cohn LH (1986) Augmentation of venous return by adrenergic agonists during spinal anesthesia. Anesth Analg 65: 612

    Article  PubMed  CAS  Google Scholar 

  14. Carter JA, Clarke TNS, Prys-Roberts C, Spelina KR (1986) Restoration of baroreflex control of heart rate during recovery from anesthesia. Br J Anaesth 58: 415

    Article  PubMed  CAS  Google Scholar 

  15. Chestnut DH, Vincent RD, Sipes SL, DeBruin CS, Bleuer SA, Chatterjee P (1991) Which vasopressor should one give to treat hypotension during magnesium sulfate infusion and epidural anesthesia. Anesthesiology 75: A824

    Article  Google Scholar 

  16. Coetzee A, Fourie P (1987) Effect of halothane, enflurane, and isoflurane on the end-systolic pressure-length relationship. Can J Anesth 34: 351

    Article  PubMed  CAS  Google Scholar 

  17. Cohn JN (1965) Comparative cardiovascular effects of tyramine, ephedrine, and norepinephrine in man. Circ Res 61: 174

    Google Scholar 

  18. Cullen PM, Turtle M, Prys-Roberts C, Way WL, Dye J (1987) Effect of Propofol anesthesia on baroreflex activity in humans. Anesth Analg 66: 1115

    PubMed  CAS  Google Scholar 

  19. Duke PC, Fownes D, Wade JG (1977) Halothane depresses baroreflex control of heart rate in man. Anesthesiology 46: 184

    Article  PubMed  CAS  Google Scholar 

  20. Ebert TJ (1990) Differential effects of nitrous oxide on baroreflex control of heart rate and peripheral sympathetic nerve activity in humans. Anesthesiology 72: 16

    Article  PubMed  CAS  Google Scholar 

  21. Ebert TJ, Kanitz DD, Berens RJ, Kampine JP (1990) Etomidate induction maintains sympathetic outflow in humans: direct observations from sympathetic recordings. Anesthesiology 73: A342

    Article  Google Scholar 

  22. Ebert TJ, Kanitz DD, Kampine JP (1990) Inhibition of sympathetic neural outflow during thiopental anesthesia in humans. Anesth Analg 71: 319

    Article  PubMed  CAS  Google Scholar 

  23. Ebert TJ, Muzi M, Berens R, Golf D, Kampine JP (1992) Sympathetic responses to induction of anesthesia in humans with propofol or etomidate. Anesthesiology 76: 725

    Article  PubMed  CAS  Google Scholar 

  24. Eger II EI (1984) The pharmacology of isoflurane. Br J Anaesth 56: S 71

    Google Scholar 

  25. Engberg G, Wiklund L (1978) The circulatory effects of intravenously administered ephedrine during epidural blockade. Acta Anaesth Scand 66 (Suppl): 27

    Article  CAS  Google Scholar 

  26. Engberg G, Wiklund L (1978) The use of ephedrine for prevention of arterial hypotension during epidural blockade. Acta Anaesth Scand Suppl 66: 1

    Article  CAS  Google Scholar 

  27. Goertz A, Heinrich H, Seeling W (1992) Baroreflex control of heart rate during high thoracic epidural anaesthesia. Anaesthesia 47: 984

    Article  PubMed  CAS  Google Scholar 

  28. Goertz AW, Lindner KH, Seefelder C, Schirmer U, Beyer M, Georgieff M (1993) Effect of phenylephrine bolus administration on global left ventricular function in patients with coronary artery disease and patients with valvular aortic stenosis. Anesthesiology 78: 834–841

    Article  PubMed  CAS  Google Scholar 

  29. Goertz A, Seeling W, Heinrich H, Lindner KH, Schirmer U (1993) Influence of high thoracic epidural anaesthesia on left ventricular contractility assessed using the end-systolic pressure length relationship. Acta Anaesthesiol Scand 37: 38

    Article  PubMed  CAS  Google Scholar 

  30. Gottlieb A, Butkus A, Skrinska V, Augereau JP, O’Hara P, Boutros A (1989) The role of protacyclin in the mesenteric traction syndrome during anesthesia for abdominal aortic reconstructive surgery. Ann Surg 209: 363

    Article  PubMed  CAS  Google Scholar 

  31. Greitz T, Andreen M, Irestedt L (1984) Effects of ephedrine on haemodynamics and oxygen consumption in the dog during high epidural block with special reference to the splanchnic region. Acta Anaesthesiol Scand 28: 557

    Article  PubMed  CAS  Google Scholar 

  32. Hollmén AI, Jouppila R, Albright GA, Jouppila P, Vierola H, Koivula A (1984) Intervilous blood flow during caesarean section with prophylactic ephedrine and epidural anesthesia. Acta Anaesthesiol Scand 28: 396

    Article  PubMed  Google Scholar 

  33. Hopf H-B, Weißbach B, Peters J (1990) High thoracic segmental epidural anesthesia diminishes sympathetic outflow to the legs, despite restriction of sensory blockade to the upper thorax. Anesthesiology 73: 882

    Article  PubMed  CAS  Google Scholar 

  34. Hudson JC, Wurm H, O’Donnel TF Jr, Kane FR, Mackay WC, Su Y-F, Watkins WD (1990) Ibuprofen pretreatment inhibits prostacyclin release during abdominal exploration in aortic surgery. Anesthesiology 72: 443

    Article  PubMed  CAS  Google Scholar 

  35. Jackson JM, Thomas SJ (1987) Valvular heart disease. In: Kaplan JA (ed) Cardiac anesthesia, 2nd edn, vol 2. Grune & Stratton, New York, p 589

    Google Scholar 

  36. Kirchheim HR (1976) Systemic arterial baroreceptor reflexes. Physiol Rev 56: 100

    PubMed  CAS  Google Scholar 

  37. Kotry KJ, Ebert T.1, Vucins EJ, Roerig DL, Kampine JP (1984) Baroreceptor reflex control of heart rate during morphine sulfate, diazepam, N20/02 anesthesia in humans. Anesthesiology 61: 558

    Google Scholar 

  38. Lackner F, Griessner R, Khosropour R, Zimpfer M (1986) Die Barorezeptorenkontrollfunktion bei der Notfallanästhesie unter besonderer Berücksichtigung von Ketamin. Anästh Intensivmed 27: 268

    Google Scholar 

  39. Lawson NW, Wallfish HK (1986) Cardiovascular pharmacology: a new look at the „pressors“. In: Stoelting RK, Barash PG, Gallagher TJ (eds) Advances in anesthesia. Year Book Medical Publishers, Chicago, p 195

    Google Scholar 

  40. Lundberg J, Nogren L, Thomson D, Werner O (1987) Hemodynamic effects of dopamin during thoracic epidural analgesia in man. Anesthesiology 66: 641

    Article  PubMed  CAS  Google Scholar 

  41. Lundberg J, Biber B, Martner J, Raner C, Vinsö O (1991) Dopamine or norepinephrine infusion during thoracic epidural anesthesia? Differences in hemodynamic effects and plasma norepinephrine levels. Anesthesiology 75: A740

    Article  Google Scholar 

  42. Takasaki M, Hatano M, Nakamura Y, Kosaka Y (1986) Evaluation of ephedrine, dopamine and dobutamin for circulatory depression with thoracic epidural analgesia in geriatric patients. Masui 35: 1212

    PubMed  CAS  Google Scholar 

  43. Marino RJ, Romagnoli A, Keats AS (1975) Selective venoconstriction by dopamine in comparison with isoproterenol and phenylephrine. Anesthesiology 43: 570

    Article  Google Scholar 

  44. Marshall WK, Bedford RF, Miller ED (1983) Cardiovascular responses in the seated position — impact of four anesthetic techniques. Anesth Analg 62: 648

    Article  PubMed  CAS  Google Scholar 

  45. Martin JT (1992) Patient positioning. In: Barash PG, Stoelting RK (eds) Clinical anesthesia, 2nd edn. Lipincott, Philadelphia, p 709

    Google Scholar 

  46. Moran DH, Perillo M, Bader AM, Datta S (1989) Phenylephrine in treating maternal hypotension secondary to spinal anesthesia ( Abstr ). Anesthesiology 71: A857

    Google Scholar 

  47. Morton M, Duke PC, Ong B (1980) Baroreflex control of heart rate in man awake and during enflurane and enflurane-nitrous oxide anesthesia. Anesthesiology 52: 221

    Article  PubMed  CAS  Google Scholar 

  48. Müller H, Brähler A, Börner U, Boldt J, Stoyanov M, Hempelmann G (1985) Hämodynamische Veränderungen nach der Bolusgabe verschiedener Vasopressiva zur Blutdruckstabilisierung bei Periduralanaesthesie. Regional-Anaesthesie 8: 43

    PubMed  Google Scholar 

  49. Murat I, Levron J-C, Saint-Maurice C (1988) Effects of fentanyl on baroreceptor reflex control of heart rate in newborn infants. Anesthesiology 68: 717

    Article  PubMed  CAS  Google Scholar 

  50. Murat I, Lapeyre G, Saint-Maurice C (1989) Isoflurane attenuates baroreflex control of heart rate in human neonates. Anesthesiology 70: 395

    Article  PubMed  CAS  Google Scholar 

  51. O’Connor JP, Wynands JE (1987) Anesthesia for myocardial revascularisation. In: Kaplan JA (ed) Cardiac anesthesia, 2nd edn, vol 2. Grune & Stratton, New York, p 551

    Google Scholar 

  52. Ottensen S, Renck H, Jynge P (1978) Cardiovascular effects of epidural analgesia and their modification by plasma expansion, adrenalin, isoproterenol and hypoxia: an experimental study in open-chest sheep. Acta Anaesthesiol Scand 69: 1

    Article  Google Scholar 

  53. Pagel PS, Kampine JP, Smeling WT, Warltier DC (1991) Influence of volatile anesthetics on myocardial contractility in vivo: desurane versus isoflurane. Anesthesiology 74: 900

    Article  PubMed  CAS  Google Scholar 

  54. Palmisano BW, Cliffort PS, Hoffmann RG, Seagard JL, Coon RL, Kampine JP (1991) Depression of baroreflex control of heart rate by halothane in growing piglets. Anesthesiology 75: 512

    Article  PubMed  CAS  Google Scholar 

  55. Peters J, Kousoulis L, Arndt JO (1989) Effects of segmental thoracic extradural analgesia on sympathetic block in conscious dogs. Br J Anaesth 63: 470

    Article  PubMed  CAS  Google Scholar 

  56. Ralston DH, Shnider SM, DeLorimer AA (1974) Effects of equipotent ephedrine, mephenteramine and methoxamine on uterine blood flow in the pregnant ewe. Anesthesiology 40: 354

    Article  PubMed  CAS  Google Scholar 

  57. Ramanathan S, Grant GJ (1988) Vasopressor therapy for hypotension due to epidural anesthesia for cesarean section. Acta Anaesthesiol Scand 32: 559

    Article  PubMed  CAS  Google Scholar 

  58. Stoelting RK (1987) Sympathomimetics. Pharmacology and physiology in anesthetic practice. Lippincott, Philadelphia

    Google Scholar 

  59. Rouby J-J, Léger P, Andreev A, Arthaud M, Landau C, Vicaut E, Cabrol C, Viars P (1990) Peripheral vascular effects of halothane and isoflurane in humans with an artificial heart. Anesthesiology 72: 462

    Article  PubMed  CAS  Google Scholar 

  60. Schwinn DA, Reyes JG (1989) Time course and hemodynamic effects of alpha-1-adrenergic bolus administration in anesthetized patients with myocardial disease. Anesth Analg 68: 571

    Article  PubMed  CAS  Google Scholar 

  61. Scott DB, Littlewood DG, Drummond GB, Buckley PF, Covino BG (1977) Modification of the circulatory effects of extradural block combined with general anaesthesia by the addition of adrenalin to lignocain solutions. Br J Anaesth 49: 917

    Article  PubMed  CAS  Google Scholar 

  62. Seagard JL, Elegbe EO, Hopp FA, Bosnjak ZJ, von Colditz JH, Kalbfleisch JH, Kampine JP (1983) Effects of isoflurane on the baroreceptor reflex. Anesthesiology 59: 511

    Article  PubMed  CAS  Google Scholar 

  63. Seeling W, Heinrich H, Oettinger W (1986) Das Eventerationssyndrom: Prostacyclinfreisetzung and akuter PaO2-Abfall durch Dünndarmeventeration. Anaesthesist 35: 738

    PubMed  CAS  Google Scholar 

  64. Seltzer JL, Ritter DE, Starsnic MA, Marr AT (1985) The hemodynamic response to traction on the abdominal mesentery. Anesthesiology 63: 96

    Article  PubMed  CAS  Google Scholar 

  65. Shapiro HM, Drummond JC (1990) Neurosurgical anesthesia and intracranial pressure. In: Miller RD (ed) Anesthesia, 3rd edn. Churchill Livingstone, New York, p 1737

    Google Scholar 

  66. Sipes SL, Vincent DH, Chestnut RD, DeBruyn CS, Bleuer SA, Chatterjee P (1992) Which vasopressor should be used to treat hypotension during magnesium sulfate infusion and epidural anesthesia? Anesthesiology 77: 101

    Article  PubMed  CAS  Google Scholar 

  67. Smith JS, Roizen MF, Cahalan MK, Benefiel DJ, Beaupre PN, Sohn YJ, Byrd BF, Schiller NB, Ehrenfeld RJ, Stoney WK, Ellis JE, Aronson S (1988) Does anesthetic technique make a difference? Augmentation of systolic blood pressure during carotid endarterectomy: effects of phenylephrine versus light anesthesia and of isoflurane versus halothane on the incidence of myocardial ischemia. Anesthesiology 69: 846

    Article  PubMed  CAS  Google Scholar 

  68. Smith NT, Corbascio AN (1970) The use and misuse of pressor agents. Anesthesiology 33: 58

    Article  PubMed  CAS  Google Scholar 

  69. Stanton-Hicks A (1975) Cardiovascular effects of extradural anesthesia. Br J Anaesth 47: 253

    PubMed  Google Scholar 

  70. Stanton-Hicks M, Höck A, Stühmeier K-D, Arndt JO (1987) Vanoconstrictor agents mobilize blood from different sources and increase intrathoracic filling during epidural anesthesia in supine humans. Anesthesiology 66: 317

    Article  PubMed  CAS  Google Scholar 

  71. Stephen GW, Lees MM, Scott DG (1969) Cardiovascular effects of epidural block combined with general anaesthesia. Br J Anaesth 41: 933

    Article  PubMed  CAS  Google Scholar 

  72. Stoelting RK (1987) Sympathomimetics. Pharmacology and physiology in anesthetic practice. Lippincott, Philadelphia, p 251

    Google Scholar 

  73. Taivainen T (1991) Comparison of ephedrine and etilefrine for the treatment of arterial hypotension during spinal anaesthesia in elderly patients. Acta Anaesthesiol Scand 35: 164

    Article  PubMed  CAS  Google Scholar 

  74. Takeshima R, Dohi S (1989) Comparison of arterial baroreflex function in humans anesthetized with enflurane or isoflurane. Anesth Analg 69: 284

    Article  PubMed  CAS  Google Scholar 

  75. Taylor JC, Tunstall ME (1991) Dosage of phenylephrine in spinal anesthesia for caesarean section. Anaesthesia 46: 314

    Article  PubMed  CAS  Google Scholar 

  76. Weiner N (1985) Norepinephrine, epinephrine, and sympathomimetic amins. In: Goodman Gilman A, Goodman LS, Rall TW, Murad F (eds) The pharmacological basis of therapeutics, 6th edn. Macmillan, New York, p 145

    Google Scholar 

  77. Wennberg E, Frid I, Haljamäe H, Noren H (1992) Colloid (3% Dextran 70) with or without ephedrine infusion for cardiovascular stability during extradural caesarean section. Br J Anaesth 69: 13

    Article  PubMed  CAS  Google Scholar 

  78. Wright PMC, Fee JPH (1992) Cardiovascular support during combined extradural and general anaesthesia. Br J Anaesth 68: 585

    Article  PubMed  CAS  Google Scholar 

  79. Wright PMC, Iftikhar M, Fitzpatrick KT, Moore J, Thompson W (1992) Vasopressor therapy for hypotension during epidural anesthesia for cesarean section: effects on maternal and fetal flow velocity ratios. Anesth Analg 75: 56

    Article  PubMed  CAS  Google Scholar 

  80. Yamazaki R, Tzuchida K, Otomo S (1990) Effects of dihydroergotamine and etilefrine on experimentally-induced postural hypotension in dogs. J Pharmacobio Dyn 13: 519

    PubMed  CAS  Google Scholar 

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Goertz, A. (1995). Therapie des perioperativ auftretenden nichtseptischen, nichtkardiogenen Kreislaufversagens. In: Ahnefeld, F.W., Dick, W., Erdmann, E. (eds) Herz- und kreislaufwirksame Medikamente in Anästhesie, Intensiv- und Notfallmedizin. Klinische Anästhesiologie und Intensivtherapie, vol 47. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-78777-5_8

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