Anesthetic management for a patient with significant orthostatic hypotension probably due to pure autonomic failure

Kentaro Tokuda, Yoshimasa Motoyama, Yoichiro Kai, Yoshiro Sakaguchi, Sumio Hoka

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

A 73-year-old man with severe orthostatic hypotension was scheduled for open cholecystectomy. His blood pressure was 126/80 mmHg in the supine position and 50/30 mmHg in the upright posture. Preoperative autonomic function tests suggested that postsynaptic fibers of the sympathetic nervous system were impaired, and the disorder was probably due to pure autonomic failure. Anesthesia was induced with thiamylal and vecuronium, and maintained with sevoflurane (3%) and fentanyl (100 μg). Epidural anesthesia was used in the latter half of the operation. Meticulous use of vasoactive drugs such as dopamine and phenylephrine as well as adequate maintenance of systemic blood volume by infusion of a crystalloid solution enabled his hemodynamic condition to become stable during anesthesia.

Original languageEnglish
Pages (from-to)1010-1013
Number of pages4
JournalJapanese Journal of Anesthesiology
Volume58
Issue number8
Publication statusPublished - Aug 1 2009

All Science Journal Classification (ASJC) codes

  • Anesthesiology and Pain Medicine

Fingerprint Dive into the research topics of 'Anesthetic management for a patient with significant orthostatic hypotension probably due to pure autonomic failure'. Together they form a unique fingerprint.

  • Cite this