[Anaesthetic management of patients with hyperdynamic circulation in hepatic cirrhosis (author's transl)].
Cirrhosis of the liver is frequently associated with arterial hypoxaemia and a hyperdynamic state of the systemic circulation. The hypoxaemia and the circulatory changes probably have a common aetiology, namely, shynting in the systemic and pulmonary vascular beds. Experiences in two well-documented cases suggest that anaesthetic agents may increase arteriovenous shunting and hypoxaemia in patients with hepatic cirrhosis. A plan for preanaesthetic identification and anaesthetic management in this type of patients is outlined.
D000328:Adult; D000768:Anesthesia, General / Q000009:adverse effects*; D001784:Blood Gas Analysis; D006801:Humans; D000860:Hypoxia / Q000209:etiology*; D008103:Liver Cirrhosis / Q000150:complications*; D008297:Male
Narkoseführung bei Patienten mit hyperdynamer Zirkulation infolge Lebercirrhose