title: [Anesthetic management in surgery of thoracic aortic aneurysms--a report of eleven cases].
abstract: Anesthetic management of patients with thoracic aneurysm is discussed. During a period of two years, 11 cases were observed; 7 cases of dissecting aneurysm and 4 cases of true aneurysm. Dissecting aneurysms were of DeBakey's type 1 in 5 cases and of DeBakey's type 2 in 2 cases. Four cases had hypertension. As many of these patients often have hypertension, it is important not to change the circulatory dynamics during induction of anesthesia. We employed high dose fentanyl in 9 cases and used nitroglycerin or nitroprusside to control systolic blood pressure at about 100-120 mmHg. Massive bleeding can occur during intraoperative period and it is important to secure a sufficient number of intravenous routes to protect the central nervous system during cardio-pulmonary bypass.
authors.forename: H
authors.initials: H
authors.lastname: Hamada
authors.forename: T
authors.initials: T
authors.lastname: Hirose
authors.forename: S
authors.initials: S
authors.lastname: Kawachi
authors.forename: T
authors.initials: T
authors.lastname: Niitsu
authors.forename: D
authors.initials: D
authors.lastname: Tagami
authors.forename: N
authors.initials: N
authors.lastname: Sumiyoshi
mesh_terms: D000368:Aged; D000758:Anesthesia / Q000379:methods*; D000784:Aortic Dissection / Q000601:surgery*; D001013:Aorta, Thoracic; D001014:Aortic Aneurysm / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged