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

研究成果: ジャーナルへの寄稿記事

1 引用 (Scopus)

抄録

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.

元の言語英語
ページ(範囲)1010-1013
ページ数4
ジャーナルJapanese Journal of Anesthesiology
58
発行部数8
出版物ステータス出版済み - 8 1 2009

Fingerprint

Pure Autonomic Failure
Orthostatic Hypotension
Anesthetics
Anesthesia
Thiamylal
Vecuronium Bromide
Epidural Anesthesia
Supine Position
Sympathetic Nervous System
Cholecystectomy
Fentanyl
Phenylephrine
Blood Volume
Posture
Dopamine
Hemodynamics
Maintenance
Blood Pressure
Pharmaceutical Preparations

All Science Journal Classification (ASJC) codes

  • Anesthesiology and Pain Medicine

これを引用

Anesthetic management for a patient with significant orthostatic hypotension probably due to pure autonomic failure. / Tokuda, Kentaro; Motoyama, Yoshimasa; Kai, Yoichiro; Sakaguchi, Yoshiro; Hoka, Sumio.

:: Japanese Journal of Anesthesiology, 巻 58, 番号 8, 01.08.2009, p. 1010-1013.

研究成果: ジャーナルへの寄稿記事

Tokuda, Kentaro ; Motoyama, Yoshimasa ; Kai, Yoichiro ; Sakaguchi, Yoshiro ; Hoka, Sumio. / Anesthetic management for a patient with significant orthostatic hypotension probably due to pure autonomic failure. :: Japanese Journal of Anesthesiology. 2009 ; 巻 58, 番号 8. pp. 1010-1013.
@article{ec0f6ef3cb8d4593b47a8428083d77f2,
title = "Anesthetic management for a patient with significant orthostatic hypotension probably due to pure autonomic failure",
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.",
author = "Kentaro Tokuda and Yoshimasa Motoyama and Yoichiro Kai and Yoshiro Sakaguchi and Sumio Hoka",
year = "2009",
month = "8",
day = "1",
language = "English",
volume = "58",
pages = "1010--1013",
journal = "Japanese Journal of Anesthesiology",
issn = "0021-4892",
publisher = "Kokuseido Publishing Co. Ltd",
number = "8",

}

TY - JOUR

T1 - Anesthetic management for a patient with significant orthostatic hypotension probably due to pure autonomic failure

AU - Tokuda, Kentaro

AU - Motoyama, Yoshimasa

AU - Kai, Yoichiro

AU - Sakaguchi, Yoshiro

AU - Hoka, Sumio

PY - 2009/8/1

Y1 - 2009/8/1

N2 - 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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=69549103292&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=69549103292&partnerID=8YFLogxK

M3 - Article

VL - 58

SP - 1010

EP - 1013

JO - Japanese Journal of Anesthesiology

JF - Japanese Journal of Anesthesiology

SN - 0021-4892

IS - 8

ER -