[The effects of different anaesthetic technics on lactate under the course of aorto-femoral bypass operation (author's transl)].
46 measurements of lactate during aorto-femoral bypass-operation were performed under epidural analgesia, halothane- and neurolept anaesthesia. Independent of the metabolic parameters a significantly higher lactate rate was found under halothane anaesthesia than in the two other groups even though - at the same perfusion volume in all three groups - a significantly lower arterial mean pressure and peripheral resistance was measured under halothane- and epidural anaesthesia than under neurolept anaesthesia. The authors come to the conclusion that under aorto-femoral bypass operations a moderate hypotension can be carried out even in patients, showing arterio-sclerotic changes of the vessels, without a significant influence on metabolism.
D000368:Aged; D000767:Anesthesia, Epidural; D000769:Anesthesia, Inhalation; D001011:Aorta / Q000601:surgery*; D001794:Blood Pressure / Q000187:drug effects; D002245:Carbon Dioxide / Q000097:blood; D002302:Cardiac Output / Q000187:drug effects; D005260:Female; D005263:Femoral Artery / Q000601:surgery*; D006221:Halothane / Q000494:pharmacology*; D006339:Heart Rate / Q000187:drug effects; D006439:Hemodynamics / Q000187:drug effects*; D006801:Humans; D007773:Lactates / Q000097:blood*; D008297:Male; D008875:Middle Aged; D009243:NAD / Q000378:metabolism; D009458:Neuroleptanalgesia; D010100:Oxygen / Q000097:blood; D010313:Partial Pressure; D010766:Phosphorylation; D014655:Vascular Resistance / Q000187:drug effects
D007773:Lactates; D009243:NAD; D002245:Carbon Dioxide; D010100:Oxygen; D006221:Halothane
Laktatverhalten während aorto-femoraler Bypassoperationen unter verschiedenen Narkoseverfahren.