Interactions of Anaesthesia and High Pre-operative Doses of β-Receptor Antagonists*

作者: C. Prys-Roberts

DOI: 10.1111/J.1399-6576.1982.TB01888.X

关键词: HemodynamicsBlockadeInternal medicinePropranololInotropeRenovascular hypertensionVentricleAnesthesiaChronotropicBlood pressureCardiologyMedicine

摘要: Haemodynamic responses to anaesthesia and surgery were observed in 13 patients with severe renovascular hypertension treated high doses of beta-receptor antagonists (equivalent 10-37 mg/kg/day propranolol) 24 receiving moderate 120-480 mg propranolol per day). Chronotropic inotropic the noxious stimuli laryngoscopy or surgical stimulation effectively suppressed by blockade thus increasing arterial pressure due these aortic cross-clamping which indicated a purely resistive load for left ventricle. In no patient was evidence found that myocardial performance, its effect on ventricular ejection, seriously compromised.

参考文章(17)
S H Taylor, H M Snow, R J Linden, Relationship between left ventricular and aortic dP-dt (max). Journal of the Royal Society of Medicine. ,vol. 65, pp. 550- 552 ,(1972) , 10.1177/003591577206500623
J.M. MANNERS, F.J.M. WALTERS, Beta‐adrenoceptor blockade and anaesthesia Anaesthesia. ,vol. 34, pp. 3- 9 ,(1979) , 10.1111/J.1365-2044.1979.TB04859.X
Lee Goldman, Debra L. Caldera, Risks of General Anesthesia and Elective Operation in the Hypertensive Patient Anesthesiology. ,vol. 50, pp. 285- 292 ,(1979) , 10.1097/00000542-197904000-00002
R R Attia, J D Murphy, M Snider, D G Lappas, R C Darling, E Lowenstein, Myocardial ischemia due to infrarenal aortic cross-clamping during aortic surgery in patients with severe coronary artery disease. Circulation. ,vol. 53, pp. 961- 965 ,(1976) , 10.1161/01.CIR.53.6.961
JOEL A. KAPLAN, RONALD W. DUNBAR, JAMES W. BLAND, RHEA SUMPTER, ELLIS L. JONES, Propranolol and cardiac surgery: a problem for the anesthesiologist? Anesthesia & Analgesia. ,vol. 54, pp. 571- 578 ,(1975) , 10.1213/00000539-197509000-00003
B. R. SUGG, C. PRYS-ROBERTS, The Penlon Oxford ventilator. A new ventilator for adult or paediatric use Anaesthesia. ,vol. 31, pp. 1234- 1244 ,(1976) , 10.1111/J.1365-2044.1976.TB11978.X
B. J. Gersh, C. E. W. Hahn, C. Prys-Roberts, J. Cashion, Physical criteria for measurement of left ventricular pressure and its first derivative Cardiovascular Research. ,vol. 5, pp. 32- 40 ,(1971) , 10.1093/CVR/5.1.32
C. PRYS-ROBERTS, P. FOëX, L.T. GREENE, T.D. WATERHOUSE, STUDIES OF ANAESTHESIA IN RELATION TO HYPERTENSION IV: THE EFFECTS OF ARTIFICIAL VENTILATION ON THE CIRCULATION AND PULMONARY GAS EXCHANGES BJA: British Journal of Anaesthesia. ,vol. 44, pp. 335- 349 ,(1972) , 10.1093/BJA/44.4.335
C. PRYS-ROBERTS, THE MEASUREMENT OF CARDIAC OUTPUT BJA: British Journal of Anaesthesia. ,vol. 41, pp. 751- 760 ,(1969) , 10.1093/BJA/41.9.751