title: [General anesthesia in a patient with idiopathic orthostatic hypotension].
abstract: Idiopathic orthostatic hypotension (formerly known as Shy-Drager syndrome) is a multiple system atrophy, which is characterized by autonomic dysregulation. Providing perioperative hemodynamic stability during narcosis is therefore a particular challenge. The effects of general anesthesia on systemic vascular resistance and cardiac output in a patient with idiopathic orthostatic hypotension undergoing retropubic prostatectomy will be reported. In the case presented perioperative hemodynamic stability was achieved by aggressive volume therapy guided by global end-diastolic volume measurement and low-dose catecholamine therapy.
authors.affiliation: Zentrum für Anästhesiologie und Intensivmedizin, Klinik für Anästhesiologie, Universitätsklinikum Hamburg-Eppendorf, Deutschland.
authors.forename: I
authors.initials: I
authors.lastname: Ionescu
authors.forename: I
authors.initials: I
authors.lastname: Blanc-Groebe
authors.forename: A E
authors.initials: AE
authors.lastname: Goetz
authors.forename: J C
authors.initials: JC
authors.lastname: Kubitz
mesh_terms: D000368:Aged; D000768:Anesthesia, General; D001810:Blood Volume / Q000502:physiology; D002302:Cardiac Output / Q000502:physiology; D002395:Catecholamines / Q000627:therapeutic use; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D008297:Male; D016343:Monitoring, Intraoperative; D010300:Parkinson Disease / Q000150:complications; D011468:Prostatectomy; D012791:Shy-Drager Syndrome / Q000150:complications* / Q000188:drug therapy; D014655:Vascular Resistance
chemical_list: D002395:Catecholamines