[Choice of components and a method of anesthesia in geriatric cancer patients with high cardiovascular risk].
Investigations were made at surgical treatment stages in 102 cancer patients (mean age 72 +/- 5.8 years) at high cardiovascular risk, who received continuous therapy that reduced heart rate and blood pressure, in order to compensate for the course of coronary heart disease and arterial hypertension. The time course of changes in the major circulatory and metabolic parameters was analyzed in patients during operations on the abdomen and small pelvis while using three different multimodal anesthetic techniques (general intravenous anesthesia-based diazepam, propofol, fentanyl, ketamine; sevofluorane-based inhalational; combined epidural and intravenous one). The advantages and limitations of the above methods were shown in patients on cardio- and vasotropic therapies. Correcting modes (transesophageal atrial pacing, morning-dose drug withdrawal) for its possible related bradycardiac and hypotensive disorders, which reduce a risk of perioperative cardiovascular complications, are set forth.
Khoronenko
V E
VE
Osipova
N A
NA
Shemetova
M M
MM
Edeleva
N V
NV
D000008:Abdominal Neoplasms / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D000368:Aged; D000369:Aged, 80 and over; D000758:Anesthesia / Q000379:methods*; D001784:Blood Gas Analysis; D002318:Cardiovascular Diseases / Q000150:complications* / Q000503:physiopathology / Q000601:surgery; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D016343:Monitoring, Intraoperative; D010386:Pelvic Neoplasms / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D016896:Treatment Outcome