Controlled hypotension for spinal surgery

被引：0
作者：
Richard P. Dutton
机构：
[1] R. Adams Cowley Shock Trauma Center,Division of Trauma Anesthesiology
[2] University of Maryland Medical System,Department of Anesthesiology
[3] University of Maryland School of Medicine,undefined
来源：
European Spine Journal | 2004年 / 13卷
关键词：
Spinal surgery; Deliberate hypotension; Posterior ischemic optic neuropathy; Review;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
Controlled, deliberate hypotension during anesthesia for major spinal surgery reduces intraoperative blood loss and transfusion requirement. Hypotension may be achieved with increased doses of volatile anesthetic agents or by continuous infusion of vasodilating drugs. Safe application of this technique requires knowledge of the physiology of hemorrhagic shock and close intraoperative monitoring to avoid vasoconstriction and end-organ ischemia.
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页码：S66 / S71
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