Anesthetic management of severe chronic cardiopulmonary failure during endovascular embolization of a PICA aneurysm: a case report.
The authors present a case in which a 64-year-old female patient suffering from severe cardiopulmonary dysfunction underwent endovascular embolization of an aneurysm of the posterior inferior cerebellar artery (PICA). The anesthetic management consisted of so-called dynamic akinetic sedation and controlled hemodynamics (DASCH) using intravenous propofol and dopamine infusions and invasive blood pressure monitoring. The details of the perioperative patient management are described. The patient made a successful recovery.
Wang
L P
LP
Department of Neuroanesthesia, Odense University Hospital, Denmark.
Wolff
J
J
D000758:Anesthesia / Q000379:methods*; D001794:Blood Pressure; D002245:Carbon Dioxide / Q000097:blood; D002536:Cerebral Arteries; D004298:Dopamine / Q000008:administration & dosage; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000628:therapy*; D007431:Intraoperative Complications / Q000628:therapy*; D008173:Lung Diseases, Obstructive / Q000150:complications*; D008875:Middle Aged; D016343:Monitoring, Intraoperative; D010100:Oxygen / Q000097:blood; D015742:Propofol / Q000008:administration & dosage; D016896:Treatment Outcome
D002245:Carbon Dioxide; D010100:Oxygen; D004298:Dopamine; D015742:Propofol