[Use of hypotensive anesthesia in endotracheo-bronchial surgery for tumor-related lesion of the trachea and/or central bronchi].
The paper presents a review of the literature data and our own experience with 25 endotracheabronchial operations for tumor-related stenosis of the central bronchi and/or trachea using hypotensive anesthesia. The latter condition was induced by speeding up propofol injection and maintaining general anesthesia at 4.4-9 mg/kg x hr. Mean arterial pressure was lower than in control (60-65 vs. 70-80 mmHg, respectively). As a result, blood loss fell 138-100 +/- 11 ml whereas gas exchange indices improved (pO2 112-87 mmHg). At intubation stage, rise in mean arterial pressure and heart rate was avoided.
Vedenin
Ia O
IaO
Arsen'ev
A I
AI
Dunaevskiĭ
I V
IV
Barchuk
A S
AS
Shcherbakov
A M
AM
Kanaev
S V
SV
Nefëdov
A O
AO
D000368:Aged; D000768:Anesthesia, General / Q000379:methods*; D000959:Antihypertensive Agents / Q000008:administration & dosage*; D016063:Blood Loss, Surgical / Q000517:prevention & control*; D001794:Blood Pressure / Q000187:drug effects; D001984:Bronchial Neoplasms / Q000601:surgery*; D004334:Drug Administration Schedule; D005260:Female; D006339:Heart Rate / Q000187:drug effects; D006801:Humans; D007442:Intubation, Intratracheal / Q000009:adverse effects; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D011659:Pulmonary Gas Exchange; D014134:Tracheal Neoplasms / Q000601:surgery*; D016896:Treatment Outcome
D000959:Antihypertensive Agents