The long-term postoperative trinitroglycerin hypotension in normal perfusion pressure breakthrough syndrome.
The authors describe a case of normal perfusion pressure breakthrough syndrome, a catastrophic hemorrhage complicating surgery for cerebral arteriovenous malformations, due to chronic loss of autoregulation. Successful treatment was achieved with prolonged postoperative trinitroglycerin hypotension, associated with barbiturate-induced coma and artificial ventilation.
Orsi
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P
Servizio di Anestesia, Rianimazione e Terapia Intensiva, Policlinico Umberto I, Roma, Italy.
Visentin
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PP
Salvati
M
M
Mastronardi
L
L
Ferrante
L
L