title: [Anesthesia in heart transplantation. Experience at the Clínica Puerto de Hierro].
abstract: The anaesthetic management of 41 patients who underwent cardiac transplantation during a 40 month period at Clínica Puerta de Hierro is reviewed. The study includes the preoperative assessment, anaesthetic agents used and intraoperative incidences. The anaesthesia was induced with etomidate whereas a high-dose fentanyl, supplemented with diazepam, was the most commonly anaesthetic technique used. There was no intraoperative mortality in this series. Several interesting concerns related to the physiology of the denervated heart and the effects of vasoactive agents after extracorporeal circulation are reviewed.
authors.forename: A
authors.initials: A
authors.lastname: Planas
authors.forename: J
authors.initials: J
authors.lastname: Maseda
authors.forename: J
authors.initials: J
authors.lastname: Gómez-Arnau
authors.forename: J R
authors.initials: JR
authors.lastname: Fraile
authors.forename: M
authors.initials: M
authors.lastname: Arcas
mesh_terms: D000293:Adolescent; D000328:Adult; D000768:Anesthesia, General; D002648:Child; D005069:Evaluation Studies as Topic; D005112:Extracorporeal Circulation; D005260:Female; D006329:Heart Conduction System / Q000601:surgery; D016027:Heart Transplantation; D006801:Humans; D008297:Male; D008875:Middle Aged; D008991:Monitoring, Physiologic; D011184:Postoperative Period; D011229:Preanesthetic Medication
vernacular_title: Anestesia en el trasplante cardíaco. Experiencia de la Clínica Puerta de Hierro.