[Coronary patient undergoing non cardiac surgery and Diprivan].
It is legitimate to avoid the administration of propofol in patients suffering from severe ischaemic heart disease (unstable angina). Propofol may be given to patients with stable angina. However, to avoid hypotension, which may compromise oxygen delivery to areas of myocardium supplied by stenosed arteries, it is essential to treat any possible hypovolaemia and to administer fentanyl before tracheal intubation, in order to reduce the dose of propofol.
Marty
J
J
Département d'Anesthésie-Réanimation, Hôpital Beaujon, Clichy.
D000771:Anesthesia, Intravenous / Q000379:methods*; D003327:Coronary Disease / Q000150:complications; D006439:Hemodynamics / Q000187:drug effects; D006801:Humans; D016343:Monitoring, Intraoperative; D015742:Propofol; D013514:Surgical Procedures, Operative
D015742:Propofol
Le coronarien en chirurgie non cardiaque et Diprivan.