title: [Use of hypotensive anesthesia in endotracheo-bronchial surgery for tumor-related lesion of the trachea and/or central bronchi].
abstract: 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.
authors.forename: Ia O
authors.initials: IaO
authors.lastname: Vedenin
authors.forename: A I
authors.initials: AI
authors.lastname: Arsen'ev
authors.forename: I V
authors.initials: IV
authors.lastname: Dunaevskiĭ
authors.forename: A S
authors.initials: AS
authors.lastname: Barchuk
authors.forename: A M
authors.initials: AM
authors.lastname: Shcherbakov
authors.forename: S V
authors.initials: SV
authors.lastname: Kanaev
authors.forename: A O
authors.initials: AO
authors.lastname: Nefëdov
mesh_terms: 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
chemical_list: D000959:Antihypertensive Agents