THE PATIENT WITH CORONARY-ARTERY DISEASE UNDERGOING NON CARDIAC-SURGERY AND DIPRIVAN(R)

被引:0
作者
MARTY, J
机构
[1] Département d'Anesthésie-Réanimation, Hôpital Beaujon
来源
ANNALES FRANCAISES D ANESTHESIE ET DE REANIMATION | 1994年 / 13卷 / 04期
关键词
D O I
10.1016/S0750-7658(05)80697-5
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
- It is legitimate to avoid the administration of propofol in patients suffering from severe ischaemic heart disease (unstable angina). - Propofol may be given to patients with stable angina. However, to avoid hypotension, which may compromise oxygen delivery to areas of myocardium supplied by stenosed arteries, it is essential to treat any possible hypovolaemia and to administer fentanyl before tracheal intubation, in order to reduce the dose of propofol.
引用
收藏
页码:560 / 562
页数:3
相关论文
共 10 条
[1]  
Al-Khudiar, Gordon, Morgan, Whitwam, Acute cardiovascular changes following disoprofol : effect in heavily sedated patients with coronary artery diseases, Anaesthesia, 37, pp. 1007-1012, (1982)
[2]  
Castaneda, Sanchez, Davila, Ruiz, Propofol in the high risk patient, Rev Mex Anestesiol, 11, pp. 180-184, (1988)
[3]  
Diedericks, Leone, Foex, Sear, Ryder, Nitrous oxide causes myocardial ischemia when added to propofol in the compromised canine myocardium, Anesth Analg, 76, pp. 1322-1326, (1993)
[4]  
Gritti, Tartari, Paolazzi, Santantonio, Pavoni, Propofol anaesthesia and the cardiac patient, Anestesia endovenosa in particolari situazioni cliniche e sedazione in terapia intensiva, 43, pp. 155-161, (1992)
[5]  
Hall, Murphy, Moffitt, Landymore, Pollak, A comparison of the myocardial metabolic and haemodynamic changes produced by propofol-sufentanil and enflurane-sufentanil anaesthesia for patients having coronary artery bypass graft surgery, Can J Anaesth, 38, pp. 996-1004, (1991)
[6]  
Lepage, Pinaud, Helias, Cozian, Lenormand, Souron, Left ventricular function during propofol and methohexital anesthesia : isotopic and invasive cardiac monitoring, Anesth Analg, 73, pp. 3-9, (1991)
[7]  
Mayer, Legat, Weinstabl, Zimpfer, Effects of propofol on the function of normal, collateral-dependent, and ischemic myocardium, Anesth Analg, 76, pp. 33-39, (1993)
[8]  
Patrick, Blair, Feneck, Sebel, A comparison of the haemodynamic effects of propofol (Diprivan) and thiopentone in patients with coronary artery disease, Postgrad Med J, 61, pp. 23-27, (1985)
[9]  
Stephan, Sonntag, Schenk, Kettler, Khambatta, Effects of propofol on cardiovascular dynamics, myocardial blood flow and myocardial metabolism in patients with coronary artery disease, Br J Anaesth, 58, pp. 969-975, (1986)
[10]  
Vermeyen, De Hert, Erpels, Adriaensen, Myocardial metabolism during anaesthesia with propofol — low dose fentanyl for coronary artery bypass surgery, Br J Anaesth, 66, pp. 504-508, (1991)