[Anesthesia management in implantation of baroreceptor stimulators].
Baroreceptor stimulators are novel implantable devices that activate the carotid baroreceptor reflex. This results in a decrease in activity of the sympathetic nervous system and inhibition of the renin-angiotensin-aldosterone system. In patients with drug-resistant hypertension, permanent electrical activation of the baroreceptor reflex results in blood pressure reduction and cardiac remodeling. For correct intraoperative electrode placement at the carotid bifurcation, the baroreceptor reflex needs to be activated several times. Many common anesthetic agents, such as inhalation anesthetics and propofol dampen or inhibit the baroreceptor reflex and complicate or even prevent successful placement. Therefore, a specific anesthesia and pharmacological management is necessary to ensure successful implantation of baroreceptor reflex stimulators.
Klinik für Anästhesiologie, Universitätsklinikum Regensburg, Franz-Josef-Strauß-Allee 11, 93053, Regensburg, Deutschland. tilmann.werner@ukr.de.
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Werner
Klinik für Anästhesiologie, Universitätsklinikum Regensburg, Franz-Josef-Strauß-Allee 11, 93053, Regensburg, Deutschland.
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Lebar
Klinik für Anästhesiologie, Universitätsklinikum Regensburg, Franz-Josef-Strauß-Allee 11, 93053, Regensburg, Deutschland.
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Wittmann
Klinik für Herz-, Thorax und herznahe Gefäßchirurgie, Universitätsklinikum Regensburg, Regensburg, Deutschland.
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A
Keyser
Klinik für Innere Medizin II, Universitätsklinikum Regensburg, Regensburg, Deutschland.
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Fischer
Klinik für Herz- und Gefäßchirurgie, Universitätsspital Bern, Bern, Schweiz.
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Schmidli
Klinik für Anästhesiologie, Universitätsklinikum Regensburg, Franz-Josef-Strauß-Allee 11, 93053, Regensburg, Deutschland.
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Graf
Klinik für Anästhesiologie, Universitätsklinikum Regensburg, Franz-Josef-Strauß-Allee 11, 93053, Regensburg, Deutschland.
Y A
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Zausig
D000758:Anesthesia; D017704:Baroreflex; D004599:Electric Stimulation Therapy; D004567:Electrodes, Implanted; D006801:Humans; D011311:Pressoreceptors; D019919:Prosthesis Implantation / Q000379:methods*
Anesthesia; Baroreceptor reflex; Carotid sinus; Electric stimulation therapy; Hypertension