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学術誌査読

1 被引用数 (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.

本文言語英語
ページ(範囲)1010-1013
ページ数4
ジャーナルJapanese Journal of Anesthesiology
58
8
出版ステータス出版済み - 8月 1 2009

!!!All Science Journal Classification (ASJC) codes

  • 麻酔学および疼痛医療

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